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Georgia Van Leijsen

NPI 1871974055 · on the registry since 2015

Practice

Address
599 Highland Colony Pkwy Ste 110
Ridgeland, MS 39157
Phone
(601) 202-5980
Organisation at this address
Watchman Group Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
2255A2300X
390200000X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-06-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi