Individual
LEAH M SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA (ASCP)
Contact information
Practice address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(678) 312-4526
Mailing address
1344 BALSAM DR, DECATUR, GA 30033-2905
(404) 512-9410
Taxonomy
Speciality
Code
Description
License number
State
246R00000X
Pathology Technician
3205
GA
246R00000X
Pathology Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3205
ASCP
GA
01
—
3205
ASCP
—
Enumeration date
07/29/2024
Last updated
08/26/2024
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