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NPI Code Detail

MEDICARE: LESLEY MAPLES PA-C

MEDICARE: LESLEY MAPLES PA-C
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
1363A00000XPhysician AssistantPA9102994FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578566121
Entity Type Code : Individual
Provider Name (Legal Business Name) : LESLEY MAPLES PA-C
Provider Business Mailing Address
First Line : 601 BURT PHILLIPS RD
Second Line :
City : CLIMAX
State : GA
Zip : 39834-2666
Country : US
Telephone Number : 229-248-0166
Fax Number :
Provider Business Practice Location Address
First Line : 3334 CAPITAL MEDICAL BLVD
Second Line : STE 400
City : TALLAHASSEE
State : FL
Zip : 32308-4470
Country : US
Telephone Number : 850-877-8174
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2005
Last Update Date : 07/08/2007

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1093718868 — GREGG A ALEXANDER MD
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Directions to “ LESLEY MAPLES PA-C” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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