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Individual

ANDRES MANUEL DE LEON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3050
(404) 616-1000
Mailing address
640 MARION ST SE UNIT B, ATLANTA, GA 30312-3507
(404) 610-2340

Taxonomy

Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
Primary
88696
GA
2084N0400X
Neurology Physician
88696
GA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/20/2017
Last updated
03/27/2026
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