Individual
LESLIE IVORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.S.A
Contact information
Practice address
5670 PEACHTREE DUNWOODY RD, SUITE 820, ATLANTA, GA 30342-1699
(404) 851-1998
(404) 531-4039
Mailing address
5670 PEACHTREE DUNWOODY RD, SUITE 820, ATLANTA, GA 30342-1699
(404) 851-1998
(404) 531-4039
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
2652
VA
Other
Enumeration date
04/14/2017
Last updated
04/14/2017
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