Marian Leach, PA-C, ATC

NPI #1568945400 in Buford, Georgia

Provider Information

NPI Number: 1568945400
Entity Type: Individual
Name: Marian Leach, PA-C, ATC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C, ATC
Enumeration Date: Sep 6, 2018
Last Updated: Jun 27, 2022

Practice Location

Address: 4700 NELSON BROGDON BLVD STE 250
City: Buford
State: Georgia
ZIP Code: 30518-5415
Phone: (770) 442-1911

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Physician Assistant	363A00000X	Primary

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