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Individual

HEATHER LESSLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAAA

Contact information

Practice address
1365 CLIFTON RD NE, ANESTHESIOLOGY, ATLANTA, GA 30322-1013
(404) 778-4852
Mailing address
2165 LIBERTY BELL PL, LAWRENCEVILLE, GA 30043-4929

Taxonomy

Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
2695
GA
367H00000X
Anesthesiologist Assistant
002695
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100001290A
GA
Enumeration date
07/24/2006
Last updated
10/27/2022
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