JESSE RAYMOND LECLAIR

AUGUSTA, GA
NPI1730197047
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: GA  002936)
Enumeration Date2006-08-03
Last Update Date2007-07-08
Business Address
Mr. JESSE RAYMOND LECLAIR PA-C
1 FREEDOM WAY VAMC-DD, THORACIC SURGERY, ROUTING # 22
AUGUSTA, GA 30904-6258
Phone number: 706-733-0188
Mailing Address
Mr. JESSE RAYMOND LECLAIR PA-C
460 ASHRIDGE WAY
AUGUSTA, GA 30907-4916
Phone number: 706-860-3753