MR. Ryan D Leitz, PA-C

NPI #1386940518 in Carrollton, Georgia

Provider Information

NPI Number: 1386940518
Entity Type: Individual
Name: MR. Ryan D Leitz, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Feb 5, 2011
Last Updated: Feb 26, 2011

Practice Location

Address: 705 DIXIE ST
City: Carrollton
State: Georgia
ZIP Code: 30117-3818
Phone: (770) 836-9666

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant	363A00000X	Primary

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