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NPI Code Detail

MEDICARE: MS. LEANDRA C. TIMBERS CD,PES

MEDICARE:  MS. LEANDRA C. TIMBERS  CD,PES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374J00000XDoula

General Provider Information

NPI Number : 1437882842
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LEANDRA C. TIMBERS CD,PES
Provider Business Mailing Address
First Line : 18 POLK CIR
Second Line :
City : FORT OGLETHORPE
State : GA
Zip : 30742-3837
Country : US
Telephone Number : 423-827-9419
Fax Number :
Provider Business Practice Location Address
First Line : 18 POLK CIR
Second Line :
City : FORT OGLETHORPE
State : GA
Zip : 30742-3837
Country : US
Telephone Number : 423-827-9419
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/04/2022
Last Update Date : 07/04/2022

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Directions to “ MS. LEANDRA C. TIMBERS CD,PES” Practice Location

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