Individual
LEONE P CORDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
126 THREE RIVERS DR NE, ROME, GA 30161-4999
(706) 295-0070
(706) 235-1618
Mailing address
126 THREE RIVERS DR NE, ROME, GA 30161-4999
(706) 295-0070
(706) 235-1618
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001992
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100002631A
—
GA
Enumeration date
12/01/2005
Last updated
08/26/2015
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