Individual
MRS. PAMELA ODUM LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2277 STONE MOUNTAIN LITHONIA RD, LITHONIA, GA 30058-5252
(770) 484-2600
(770) 484-0155
Mailing address
1282 BERRYHILL DR, LITHONIA, GA 30058-3017
(770) 482-1902
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN089696
GA
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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