Individual
LEIA MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4800 OLDE TOWNE PKWY STE 370, MARIETTA, GA 30068-4396
(678) 631-4620
Mailing address
1066 STOVALL BLVD NE, ATLANTA, GA 30319-1221
(423) 290-3941
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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