Individual
BRIAN KEITH LELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
61 WHITCHER ST NE, SUITE 2100, MARIETTA, GA 30060-1176
(770) 423-0595
Mailing address
120 STONEBRIDGE PKWY, 320, WOODSTOCK, GA 30189-3767
(770) 874-7631
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005349
GA
363AS0400X
Surgical Physician Assistant
PA 9104493
FL
Other
Enumeration date
05/26/2008
Last updated
02/27/2019
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