Provider Demographics
NPI:1316291347
Name:TOOMER, LESLIE JAMAR (DC)
Entity type:Individual
Prefix:MR
First Name:LESLIE
Middle Name:JAMAR
Last Name:TOOMER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6175 OLD NATIONAL HWY STE 430
Mailing Address - Street 2:
Mailing Address - City:COLLEGE PARK
Mailing Address - State:GA
Mailing Address - Zip Code:30349-4470
Mailing Address - Country:US
Mailing Address - Phone:770-892-1231
Mailing Address - Fax:678-519-3579
Practice Address - Street 1:6175 OLD NATIONAL HWY STE 430
Practice Address - Street 2:
Practice Address - City:COLLEGE PARK
Practice Address - State:GA
Practice Address - Zip Code:30349-4470
Practice Address - Country:US
Practice Address - Phone:678-519-3472
Practice Address - Fax:678-519-3579
Is Sole Proprietor?:No
Enumeration Date:2012-10-29
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA008948111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor