Middendorf, Leah K

Middendorf, Leah K is an individual health care provider with primary practice located at 2774 Cobb Pkwy Nw Ste 201, Kennesaw GA 30152-3469. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Middendorf, Leah K can be contacted via phone (678) 569-0144.

Contact Information

Primary practice address
2774 Cobb Pkwy Nw Ste 201 Kennesaw GA 30152-3469
Phone: (678) 569-0144
Fax: (678) 569-0145
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN160477 Georgia

Profile Details

NPI number 1497957013
LBN Legal business name Middendorf, Leah K
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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