Individual
MICHAEL E LEAHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
771 OLD NORCROSS RD STE 390, LAWRENCEVILLE, GA 30046-4324
(678) 957-0757
(678) 957-9597
Mailing address
3100 INTERSTATE NORTH CIR SE STE 500, ATLANTA, GA 30339-2296
(770) 953-6929
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12935
GA
363A00000X
Physician Assistant
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Other
Enumeration date
05/10/2023
Last updated
04/30/2025
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