Individual
LEISA MCMICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1 WOODBINE AVE NW, ROME, GA 30165-2397
(706) 314-0019
(706) 314-0343
Mailing address
1401 APPLEWOOD DR, DALTON, GA 30720-2699
(706) 270-5107
(706) 270-5010
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN204359
GA
Other
Enumeration date
02/09/2015
Last updated
02/09/2015
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