Individual
LESLIE ISABEL PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
48 MAIN ST STE 3A, SENOIA, GA 30276-1895
(678) 723-0400
(770) 599-9779
Mailing address
643 MAIN ST, PALMETTO, GA 30268-1138
(404) 929-8824
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301106164
MI
207Q00000X
Family Medicine Physician
Primary
84321
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2014
Last updated
03/20/2023
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