Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 7020 | GA |
N | 111NI0900X | Internist | 7020 | GA |
Y | 207RR0500X | Rheumatology | 83421 | GA |
NPI | 1073932489 |
---|---|
Provider Name | Dr. Leslie Anne V. Cassidy |
First Address | Atlanta, GA 30322-0001 |
Second Address | Atlanta, GA 30322-3033 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2014 |
Last Update Date | 06/07/2019 |