NPI 1003312067

Jacob Leedekerken

Practitioner Emergency Medicine Physician Gainesville, GA

Practice location

Address: 743 Spring St NE, Gainesville, GA 30501-3715
Phone: (770) 219-1200

Registered specialties

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 238485 (NC)

Other Emergency Medicine providers in Georgia →

Registry record

NPI: 1003312067
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Mar 2018
Record last updated: 10 Apr 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.