PATRICE LEONIE BASANTA-HENRY

LILBURN, GA
NPI1144406786
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine
(Licence: GA  60556)
Additional Taxonomies207V00000X Obstetrics & Gynecology
(Licence: GA  000368)
Enumeration Date2008-01-14
Last Update Date2020-11-30
Business Address
Dr. PATRICE LEONIE BASANTA-HENRY M.D
625 BEAVER RUIN RD NW SUITE D
LILBURN, GA 30047-3401
Phone number: 770-279-3838
Mailing Address
Dr. PATRICE LEONIE BASANTA-HENRY M.D
625 BEAVER RUIN RD NW SUITE D
LILBURN, GA 30047-3401
Phone number: 770-279-3838