Search › Georgia › 207W00000X
Leiv Takle, MD
NPI 1447201074 · on the registry since 2006 · sole proprietor
Practice
- Address
- 646 S 8th St
Griffin, GA 30224 - Phone
- (770) 228-3836
- Fax
- (770) 412-1733
- Organisation at this address
- Leiv M Takle Md Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 207W00000X
207W00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-12-05
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