Individual
ANQUILLA V DELEVEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3333 JODECO RD STE D, MCDONOUGH, GA 30253-5371
(770) 474-1919
(770) 474-7832
Mailing address
3333 JODECO RD STE D, MCDONOUGH, GA 30253-5371
(770) 474-1919
(770) 474-7832
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
96726
GA
Other
Enumeration date
03/28/2019
Last updated
08/11/2023
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