Individual
LEO OVADJE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
105 N PARK TRL, SUITE 300, STOCKBRIDGE, GA 30281-7373
(678) 284-0800
(678) 284-0393
Mailing address
PO BOX 2130, STOCKBRIDGE, GA 30281-8909
(678) 284-0800
(678) 284-0393
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
055143
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
526707739G
—
GA
Enumeration date
11/03/2005
Last updated
07/08/2007
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