Individual
LESLYE PRITCHETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4331 THURMOND TANNER RD, FLOWERY BRANCH, GA 30542-2829
(678) 513-5700
(678) 513-5836
Mailing address
4331 THURMOND TANNER RD, FLOWERY BRANCH, GA 30542-2829
(678) 513-5700
(678) 513-5836
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN 79105
GA
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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