Individual
MONTRICE LEATHERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNIM
Contact information
Practice address
1880 BEAVER RIDGE CIR, NORCROSS, GA 30071-3833
(404) 320-6018
Mailing address
210 IMAD CT, FAIRBURN, GA 30213-3164
(407) 484-0342
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
3062
—
Other
Enumeration date
06/30/2016
Last updated
06/30/2016
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