Search › Georgia › 363LA2200X
Lequawn James
NPI 1154834406 · on the registry since 2017 · sole proprietor
Practice
- Address
- 277 Medical Way
Riverdale, GA 30274 - Phone
- (347) 735-1504
- Organisation at this address
- Atlanta Detox Center, Llc
Atlanta Detox Center, Llc
Fellowship Assisted Living LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Additional practice sites
- 491 Lindbergh Pl Ne Apt 604, Atlanta, GA
- 100 Governors Trce # 109-110, Peachtree City, GA
Registry record
- Primary taxonomy
- 363LA2200X
363LA2200X
- Also registered as
- 163WE0003X
363LA2200X
163WE0003X - Licence states on file
- GA, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-11-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia