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Individual

ELIZABETH M LEDUC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
960 JOHNSON FERRY RD NE, SUITE 315, ATLANTA, GA 30342-1631
(404) 389-1600
(404) 389-1610
Mailing address
960 JOHNSON FERRY RD NE, SUITE 315, ATLANTA, GA 30342-1631
(404) 389-1600
(404) 389-1610

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
034754
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2277469002
CIGNA HEALTHCARE
01
785955
BLUE CROSS BLUE SHIELD
Enumeration date
04/18/2006
Last updated
05/10/2011
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