Individual
MR. LESLIE ANDREW CORNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
2201 MOUNT ZION PKWY, MORROW, GA 30260-3312
(404) 785-8719
(404) 785-8730
Mailing address
5175 ROCK PLACE DR, STONE MOUNTAIN, GA 30087-4272
(770) 413-3786
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN052496
GA
Other
Enumeration date
10/08/2008
Last updated
10/08/2008
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