Individual provider · NPI-1

Leanne Harris Martinelli, PA-C

Physician Assistant, Medical · Lithonia, GA

NPI number1427129014
StatusActive
Last updated in NPPESJan 13, 2011

Details

NPI
1427129014
Entity type
Individual (NPI-1)
Name
Mrs. Leanne Harris Martinelli
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Nov 13, 2006
Last updated
Jan 13, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AM0700X Physician Assistant, Medical004312GAYes
183500000X Pharmacist13486NC

Practice location

2745 Dekalb Medical Pkwy
Suite 110
Lithonia, GA 30058-4932

Phone 770-981-5431 · Fax 770-981-5515

Mailing address

1835 Savoy Dr
Suite 300
Atlanta, GA 30341-1072

Phone 770-495-3396 · Fax 770-495-2307

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