Dr. Patrice Leonie Basanta-Henry
Obstetrician & Gynecologist Gynecologist - Maternal & Fetal Medicine
625 Beaver Ruin Rd Nw Suite D
Lilburn
, Georgia 30047-3401
Dr. Patrice Leonie Basanta-Henry
Obstetrician & Gynecologist Gynecologist - Maternal & Fetal Medicine
625 Beaver Ruin Rd Nw Suite D
Lilburn
, Georgia 30047-3401
(770) 279-3838
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About
Features
Specialties
- Obstetrician & Gynecologist
- Gynecologist - Maternal & Fetal Medicine
Languages spoken
- English
Location
First Address
- Dr. Patrice Leonie Basanta-Henry
- 625 Beaver Ruin Rd Nw Suite D
- Lilburn, GA
- Zip : 30047-3401
- Phone : (770) 279-3838
Second Address
- Dr. Patrice Leonie Basanta-Henry
- 625 Beaver Ruin Rd Nw Suite D
- Lilburn, GA
- Zip : 30047-3401
- Phone : (770) 279-3838
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207V00000X | Obstetrician & Gynecologist | 000368 | GA |
| Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 60556 | GA |
National Provider Identifier
| NPI | 1144406786 |
|---|---|
| Provider Name | Dr. Patrice Leonie Basanta-Henry |
| First Address | Lilburn, GA 30047-3401 |
| Second Address | Lilburn, GA 30047-3401 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/01/2008 |
| Last Update Date | 30/11/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.