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Individual

DR. TICIANA B LEAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1914
(404) 778-3313
Mailing address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 778-3313

Taxonomy

Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
50297
WI
207RH0003X
Hematology & Oncology Physician
Primary
89952
GA
207RX0202X
Medical Oncology Physician
50297
WI

Other

Enumeration date
08/15/2007
Last updated
09/08/2021
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