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Individual

LESLIE H ADCOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
95 COLLIER ROAD, NW, SUITE 5015, ATLANTA, GA 30309-1721
(404) 605-5699
(404) 355-4235
Mailing address
95 COLLIER ROAD, NW, SUITE 5015, ATLANTA, GA 30309-1721
(404) 605-5699
(404) 355-4235

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN063419NP
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000868744G
GA
Enumeration date
04/20/2006
Last updated
03/09/2011
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