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Individual

DR. LEISA L MARSHALL

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PHARM.D., CGP

Contact information

Practice address
2000 E WEST CONNECTOR, AUSTELL, GA 30106-1194
(770) 819-7000
Mailing address
3094 FARMINGTON DR SE, ATLANTA, GA 30339-4703
(770) 435-7034

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
014567
GA

Other

Enumeration date
08/15/2005
Last updated
07/08/2007
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