Individual
NICHOLE MARIE LEBOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
75 PIEDMONT AVE STE 700, ATLANTA, GA 30303-2508
(404) 756-5764
(404) 756-5252
Mailing address
75 PIEDMONT AVE STE 700, ATLANTA, GA 30303-2508
(404) 756-5764
(404) 756-5252
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
054452
GA
207QA0505X
Adult Medicine Physician
054452
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083240704B
—
GA
05
—
083240704C
—
GA
Enumeration date
01/13/2006
Last updated
07/03/2008
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