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NPI 1104280197

IndividualActive

Leslie Bacastow

NPI 1104280197 · Case Manager/Care Coordinator · Comer, GA

Provider details

NPI number: 1104280197
Entity type: Individual
Primary specialty: Case Manager/Care CoordinatorOther Service Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Case Manager/Care CoordinatorPrimary171M00000X
Other Service Providers

Practice location

28 Brad Graham Rd

Comer, GA 30629-6200

Phone: (706) 540-7348

Approximate (ZIP-level) locationGet directions

More GA providers

Mailing address

28 Brad Graham Rd

Comer, GA 30629-6200

Registry dates

Enumerated: 2016-04-06
Last updated: 2016-04-06

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Leslie Bacastow — NPI 1104280197, Comer, GA | NPI Central