Individual
DESIREE DIANA JANA LEVERETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1405 CLIFTON RD NE, ATLANTA, GA 30322-3220
(404) 785-5437
Mailing address
765 DUNLOP WAY, ATLANTA, GA 30312-3726
(334) 649-9377
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
100293
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/06/2021
Last updated
07/09/2024
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