| L&w Medical Services Llc | |
|
6553 Highway 41 Ringgold GA 30736-2641 | |
| (706) 965-6000 | |
| Not Available |
| Full Name | L&w Medical Services Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 6553 Highway 41, Ringgold, Georgia |
| Authorized Official Name and Position | Leslie Weaver (OWNER) |
| Authorized Official Contact | 7069656000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| L&w Medical Services Llc 6553 Highway 41 Ringgold GA 30736-2641 Ph: (706) 965-6000 | L&w Medical Services Llc 6553 Highway 41 Ringgold GA 30736-2641 Ph: (706) 965-6000 |
| NPI Number | 1629873492 |
|---|---|
| Provider Enumeration Date | 02/17/2025 |
| Last Update Date | 02/17/2025 |
| Medicare PECOS PAC ID | 4385165927 |
|---|---|
| Medicare Enrollment ID | O20250311003054 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629873492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
| Provider Name | Leslie M. Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861884512 PECOS PAC ID: 9830282193 Enrollment ID: I20150428000071 |
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