Individual
DR. NANCY LEFEVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
89 CLINIC RD, TATE, GA 30177
(770) 737-3333
(770) 737-6646
Mailing address
PO BOX 102321, ATLANTA, GA 30368-2321
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
050205
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000928859C
—
GA
Enumeration date
10/16/2006
Last updated
02/22/2011
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