Samantha Leyse

NPI 1356703391 · on the registry since 2016

Practice

Address: 200 Perry House Rd
Fitzgerald, GA 31750
Phone: (229) 424-7104
Fax: (229) 424-7122
Organisation at this address: Dorminy Medical Center
Dmc Physician Group Llc
Dmc Physician Group Llc
Dmc Physician Group Llc
Ben Hill Emergency Group Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: 235Z00000X
235Z00000X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2016-03-28

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