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Individual

SCOTT CHRISTOPHER LEETH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3500 MCCLURE BRIDGE RD, DULUTH, GA 30096-3131
(770) 476-3636
(770) 476-5845
Mailing address
3500 MCCLURE BRIDGE RD, DULUTH, GA 30096-3131
(770) 476-3636
(770) 476-5845

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
038842
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000659095F
GA
Enumeration date
12/15/2006
Last updated
03/10/2021
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