Provider Demographics
NPI:1750376356
Name:JARRETT, LEKESHIA WILLIAMS (MD)
Entity type:Individual
Prefix:DR
First Name:LEKESHIA
Middle Name:WILLIAMS
Last Name:JARRETT
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:200 E PONCE DE LEON AVE
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30030-3466
Mailing Address - Country:US
Mailing Address - Phone:404-377-3436
Mailing Address - Fax:404-371-0019
Practice Address - Street 1:1333 S DICKINSON DR UNIT 140
Practice Address - Street 2:
Practice Address - City:LELAND
Practice Address - State:NC
Practice Address - Zip Code:28451-6434
Practice Address - Country:US
Practice Address - Phone:910-341-3300
Practice Address - Fax:910-251-2067
Is Sole Proprietor?:No
Enumeration Date:2005-09-20
Last Update Date:2018-02-27
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Provider Licenses
StateLicense IDTaxonomies
NC2018-00318207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAH78607Medicare UPIN
GA08BCBBSMedicare PIN
GA978552770AMedicaid