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NPI Code Detail

MEDICARE: DR. LEKESHIA WILLIAMS JARRETT MD

MEDICARE:  DR. LEKESHIA WILLIAMS JARRETT  MD
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 Physician2018-00318NC

General Provider Information

NPI Number : 1750376356
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LEKESHIA WILLIAMS JARRETT MD
Provider Business Mailing Address
First Line : 200 E PONCE DE LEON AVE
Second Line :
City : DECATUR
State : GA
Zip : 30030-3466
Country : US
Telephone Number : 404-377-3436
Fax Number : 404-371-0019
Provider Business Practice Location Address
First Line : 1333 S DICKINSON DR UNIT 140
Second Line :
City : LELAND
State : NC
Zip : 28451-6434
Country : US
Telephone Number : 910-341-3300
Fax Number : 910-251-2067
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2005
Last Update Date : 02/27/2018

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Directions to “ DR. LEKESHIA WILLIAMS JARRETT MD” Practice Location

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