Individual
DR. LEONARD PERRY LACONTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
145 TECHNOLOGY PKWY, NORCROSS, GA 30092-2913
(800) 780-3500
Mailing address
8 QUIET CV, MOULTRIE, GA 31768-6512
(229) 985-4748
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
012508
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00016684A
—
GA
Enumeration date
07/16/2006
Last updated
01/22/2009
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