SearchGeorgia363AM0700X

Leah Gumucio, PA-C

NPI 1992074496 · on the registry since 2011

Practice

Address
1305 Jennings Mill Rd Ste 290a
Watkinsville, GA 30677
Phone
(706) 552-1840
Fax
(706) 552-1849
Organisation at this address
Wellstreet Of Georgia Pc
Piedmont Athens Regional Medical Center Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
62

Registry record

Primary taxonomy
363AM0700X
363AM0700X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-02-14

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