Organization
LEELA S. MAXA MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEELA S MAXA M.D. (OWNER/PHYSICIAN)
(770) 682-2099
Entity
Organization
Contact information
Practice address
311 PHILIP BLVD, LAWRENCEVILLE, GA 30046-8733
(770) 995-3000
(770) 995-1427
Mailing address
53 PERIMETER CTR E, #500, ATLANTA, GA 30346-2294
(770) 682-2099
(866) 281-8389
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
037382
GA
Other
Enumeration date
05/11/2011
Last updated
05/11/2011
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