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NPI Code Detail

MEDICARE: DR. BAOQUANG S LE D.O.

MEDICARE: DR. BAOQUANG S LE D.O.
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
1207Q00000XFamily Medicine Physician104701GA
2208D00000XGeneral Practice PhysicianDO1459AL
3207Q00000XFamily Medicine PhysicianOS15776FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447411525
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BAOQUANG S LE D.O.
Provider Business Mailing Address
First Line : PO BOX 740015
Second Line :
City : ATLANTA
State : GA
Zip : 30374-0015
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 625 S MARIETTA PKWY SE
Second Line :
City : MARIETTA
State : GA
Zip : 30060-2748
Country : US
Telephone Number : 470-377-7228
Fax Number : 470-467-7583
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2008
Last Update Date : 12/12/2025

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Directions to “ DR. BAOQUANG S LE D.O.” Practice Location

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