Individual
LEAH EVE MICKELSON MACKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2860 RONALD REAGAN BLVD STE 200, CUMMING, GA 30041-6092
(470) 215-1920
(470) 253-7923
Mailing address
2860 RONALD REAGAN BLVD STE 200, CUMMING, GA 30041-6092
(470) 215-1920
(470) 253-7923
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
209826
NC
207Q00000X
Family Medicine Physician
Primary
79851
GA
Other
Enumeration date
06/04/2015
Last updated
07/27/2023
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