LEAH MARIE GUMUCIO

WATKINSVILLE, GA
NPI1992074496
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: GA  007513)
Enumeration Date2011-12-29
Last Update Date2018-02-14
Business Address
LEAH MARIE GUMUCIO PA-C
1305 JENNINGS MILL RD STE 290A
WATKINSVILLE, GA 30677-7238
Phone number: 706-552-1840
Mailing Address
LEAH MARIE GUMUCIO PA-C
4500 FOREST DR STE A
COLUMBIA, SC 29206-3105
Phone number: 803-738-9522
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