Provider Demographics
NPI:1043558570
Name:LEVERGOOD, JAMES LESTER III (PHARMD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:LESTER
Last Name:LEVERGOOD
Suffix:III
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5180 MCGINNIS FERRY RD
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-1792
Mailing Address - Country:US
Mailing Address - Phone:770-360-1030
Mailing Address - Fax:770-360-1035
Practice Address - Street 1:5180 MCGINNIS FERRY RD
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005-1792
Practice Address - Country:US
Practice Address - Phone:770-360-1030
Practice Address - Fax:770-360-1035
Is Sole Proprietor?:No
Enumeration Date:2013-01-17
Last Update Date:2013-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH022042183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist