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NPI Code Detail

MEDICARE: L&W MEDICAL SERVICES LLC

MEDICARE: L&W MEDICAL SERVICES LLC
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 Physician
2363LF0000XFamily Nurse Practitioner

General Provider Information

NPI Number : 1629873492
Entity Type Code : Organization
Provider Name (Legal Business Name) : L&W MEDICAL SERVICES LLC
Provider Business Mailing Address
First Line : 6553 HIGHWAY 41
Second Line :
City : RINGGOLD
State : GA
Zip : 30736-2641
Country : US
Telephone Number : 706-965-6000
Fax Number :
Provider Business Practice Location Address
First Line : 6553 HIGHWAY 41
Second Line :
City : RINGGOLD
State : GA
Zip : 30736-2641
Country : US
Telephone Number : 706-965-6000
Fax Number :
Authorized Official
Title or Position : OWNER
Name : LESLIE WEAVER
Credential : NP
Telephone Number : 706-965-6000
Provider Enumeration Date : 02/17/2025
Last Update Date : 02/17/2025

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Directions to “L&W MEDICAL SERVICES LLC ” Practice Location

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