MEDICARE: LEAH STRICKLAND

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
1	363AS0400X	Surgical Physician Assistant	3817	GA

General Provider Information

NPI Number	:	1720364318
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEAH STRICKLAND

Provider Business Mailing Address
First Line	:	4279 ROSWELL ROAD SUITE 102 PMB 303
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30342
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4279 ROSWELL ROAD SUITE 102 PMB 303
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30342
Country	:	US
Telephone Number	:	404-484-2223
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2011
Last Update Date	:	03/18/2014

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Directions to “ LEAH STRICKLAND ” Practice Location

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