Individual
LEISA JULIE STILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
550 PEACHTREE ST NE FL 9, ATLANTA, GA 30308-2212
(404) 778-7458
Mailing address
550 PEACHTREE ST NE FL 9, SUITE 1135, ATLANTA, GA 30308-2212
(404) 778-7458
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9105349
FL
Other
Enumeration date
11/02/2010
Last updated
01/04/2022
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