BLAIR ALAN LEAVITT

ROME, GA
NPI1093141145
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  006927)
Enumeration Date2013-09-20
Last Update Date2013-09-20
Business Address
-- BLAIR ALAN LEAVITT PA-C
330 TURNER MCCALL BLVD SW
ROME, GA 30165-5630
Phone number: 706-236-6426
Mailing Address
-- BLAIR ALAN LEAVITT PA-C
1825 MARTHA BERRY BLVD NW
ROME, GA 30165-1625
Phone number: 706-295-5331