Individual
KATHLEEN C LEOFFLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1615 HIGHWAY 34 E, NEWNAN, GA 30265-1325
(770) 252-6767
(770) 252-0021
Mailing address
PO BOX 102321, ATLANTA, GA 30368-2321
(770) 801-2500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN143499
GA
Other
Enumeration date
04/19/2007
Last updated
10/18/2007
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