Individual provider · Type 1 NPI

Montrice Leatherwood, CNIM

Electroneurodiagnostic Specialist/Technologist · Norcross, GA

NPI number 1033560040 Active

Practice location

1880 Beaver Ridge Cir
Norcross, GA 30071-3833

Mailing address

210 Imad Ct
Fairburn, GA 30213-3164

Specialties and licenses

TaxonomyCodeLicense
Electroneurodiagnostic Specialist/Technologist Primary 246ZE0600X3062

Electroneurodiagnostic Specialist/Technologist: Definition to come...

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About NPI 1033560040

Montrice Leatherwood, CNIM's National Provider Identifier is 1033560040, issued on Jun 30, 2016. The primary taxonomy on file is Electroneurodiagnostic Specialist/Technologist (246ZE0600X), and the practice location is in Norcross, GA. The record was last updated on Jun 30, 2016.