MONTRICE LEATHERWOOD

NORCROSS, GA
NPI1033560040
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic
(Licence:   3062)
Enumeration Date2016-06-30
Last Update Date2016-06-30
Business Address
-- MONTRICE LEATHERWOOD CNIM
1880 BEAVER RIDGE CIR
NORCROSS, GA 30071-3833
Phone number: 404-320-6018
Mailing Address
-- MONTRICE LEATHERWOOD CNIM
210 IMAD CT
FAIRBURN, GA 30213-3164
Phone number: 407-484-0342