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NPI Code Detail

MEDICARE: LESLIE UGLAND OGBURN NP

MEDICARE: LESLIE UGLAND OGBURN NP
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
1363LF0000XFamily Nurse PractitionerRN215355GA

General Provider Information

NPI Number : 1871976001
Entity Type Code : Individual
Provider Name (Legal Business Name) : LESLIE UGLAND OGBURN NP
Provider Business Mailing Address
First Line : 3320 CHATHAM RD NW
Second Line :
City : ATLANTA
State : GA
Zip : 30305-1140
Country : US
Telephone Number : 704-572-0008
Fax Number :
Provider Business Practice Location Address
First Line : 5671 PEACHTREE DUNWOODY RD STE 300
Second Line :
City : ATLANTA
State : GA
Zip : 30342-5003
Country : US
Telephone Number : 404-778-6070
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2015
Last Update Date : 10/09/2025

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