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NPI Code Detail

MEDICARE: LEANNE CARSON

MEDICARE: LEANNE CARSON
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
1363LA2100XAcute Care Nurse PractitionerNP151170GA

General Provider Information

NPI Number : 1922939727
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEANNE CARSON
Provider Business Mailing Address
First Line : 881 OCONEE SPRINGS RD
Second Line :
City : EATONTON
State : GA
Zip : 31024-8352
Country : US
Telephone Number : 843-860-3249
Fax Number :
Provider Business Practice Location Address
First Line : 777 HEMLOCK ST
Second Line :
City : MACON
State : GA
Zip : 31201-2102
Country : US
Telephone Number : 478-633-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2026
Last Update Date : 05/28/2026

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Directions to “ LEANNE CARSON ” Practice Location

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