Healthcare Provider Details

I. General information

NPI: 1659528420
Provider Name (Legal Business Name): LESLIE ANNE HAMMETT FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LESLIE SINGLETON FNP-C

II. Dates (important events)

Enumeration Date: 08/25/2008
Last Update Date: 03/19/2020
Certification Date: 03/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1780 PEACHTREE PKWY STE 302
CUMMING GA
30041-6834
US

IV. Provider business mailing address

1780 PEACHTREE PKWY STE 302
CUMMING GA
30041-6834
US

V. Phone/Fax

Practice location:
  • Phone: 770-772-1830
  • Fax: 470-253-8215
Mailing address:
  • Phone: 770-772-1830
  • Fax: 470-253-8215

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN169712
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: