Healthcare Provider Details

I. General information

NPI: 1336403435
Provider Name (Legal Business Name): LEAH SPRINGER UMBEHANT PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LEAH ONEAL SPRINGER PA

II. Dates (important events)

Enumeration Date: 07/03/2012
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3331 HAMILTON MILL RD STE 1106
BUFORD GA
30519-7226
US

IV. Provider business mailing address

PO BOX 23329
NEW YORK NY
10087-3329
US

V. Phone/Fax

Practice location:
  • Phone: 770-814-8222
  • Fax: 678-205-5111
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number6584
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: