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NPI Code Detail

MEDICARE: DANICA LEIGH PINSON PAC

MEDICARE: DANICA LEIGH PINSON PAC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant8841GA

General Provider Information

NPI Number : 1225514201
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANICA LEIGH PINSON PAC
Provider Business Mailing Address
First Line : 4800 OLDE TOWNE PKWY STE 370
Second Line :
City : MARIETTA
State : GA
Zip : 30068-4396
Country : US
Telephone Number : 678-631-4620
Fax Number : 678-631-4621
Provider Business Practice Location Address
First Line : 4800 OLDE TOWNE PKWY STE 370
Second Line :
City : MARIETTA
State : GA
Zip : 30068-4396
Country : US
Telephone Number : 678-631-4620
Fax Number : 678-631-4621
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2018
Last Update Date : 07/16/2025

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Directions to “ DANICA LEIGH PINSON PAC” Practice Location

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