OrganizationActive
James Leake
NPI 1831578699 · Plastic and Reconstructive Surgery Physician · Marietta, GA
Provider details
- NPI number
- 1831578699
- Entity type
- Organization
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- James Leake, M.D.(770) 421-1242
- License
- 026144 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
120 Vann St Ne
Suite 150
Marietta, GA 30060-7357
Phone: (770) 421-1242
Fax: (770) 424-6652
Approximate (ZIP-level) locationGet directions
Mailing address
120 Vann St Ne
Marietta, GA 30060-7357
Registry dates
- Enumerated
- 2015-05-27
- Last updated
- 2015-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.