Organization
LEEWAY MEDICAL GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARVIN LEE III MD (OWNER)
(678) 478-6031
Entity
Organization
Contact information
Practice address
1665 WATERWAY XING SW, ATLANTA, GA 30331-8060
(678) 478-6031
(404) 629-1492
Mailing address
1665 WATERWAY XING SW, ATLANTA, GA 30331-8060
(678) 478-6031
(404) 629-1492
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
—
—
Other
Enumeration date
11/19/2007
Last updated
11/19/2007
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