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Individual

ANDREW H LEACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
355 HAWTHORNE LN, ATHENS, GA 30606-2153
(706) 369-0019
(706) 369-1989
Mailing address
5780 PEACHTREE DUNWOODY RD, SUITE 300, ATLANTA, GA 30342-1554
(404) 303-1224
(404) 303-1325

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
049051
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000874343D
GA
Enumeration date
03/01/2006
Last updated
08/12/2013
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