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1093141145
BLAIR ALAN LEAVITT
ROME, GA
NPI
1093141145
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 006927)
Enumeration Date
2013-09-20
Last Update Date
2013-09-20
Business Address
-- BLAIR ALAN LEAVITT PA-C
330 TURNER MCCALL BLVD SW
ROME, GA 30165-5630
Phone number: 706-236-6426
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Mailing Address
-- BLAIR ALAN LEAVITT PA-C
1825 MARTHA BERRY BLVD NW
ROME, GA 30165-1625
Phone number: 706-295-5331
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