Leroy Fass, MD

NPI #1336297936 in Atlanta, Georgia

Provider Information

NPI Number: 1336297936
Entity Type: Individual
Name: Leroy Fass, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: MD
Enumeration Date: Jan 8, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1472 WEMBLEY CT NE
City: Atlanta
State: Georgia
ZIP Code: 30329-3968
Phone: (404) 321-6250

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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