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5640 Weiss Lake Blvd Leesburg AL 35983-3505 | |
(256) 526-8990 | |
(256) 526-8990 |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 5640 Weiss Lake Blvd, Leesburg, Alabama |
Authorized Official Name and Position | Jon Leizman (PRESIDENT) |
Authorized Official Contact | 2164799063 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5500 Maryland Way Brentwood TN 37027-7048 Ph: (256) 526-8990 | 5640 Weiss Lake Blvd Leesburg AL 35983-3505 Ph: (256) 526-8990 |
NPI Number | 1093386062 |
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Provider Enumeration Date | 07/09/2021 |
Last Update Date | 08/25/2022 |
Identifier | Type | State | Issuer |
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1093386062 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Weiss Family Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 280 Industrial Blvd, Leesburg, AL 35983 Phone: 256-526-3323 Fax: 256-526-3324 | |