Organization · Type 2 NPI
Leela S. Maxa Md, LLC
Specialist · Lawrenceville, GA
NPI number
1164714937
Active
Practice location
311 Philip Blvd
Lawrenceville, GA 30046-8733
Fax (770) 995-1427
Mailing address
53 Perimeter Ctr E, #500
Atlanta, GA 30346-2294
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 037382 (GA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2 other providers at this address
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About NPI 1164714937
Leela S. Maxa Md, LLC's National Provider Identifier is 1164714937, issued on May 11, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Lawrenceville, GA. The record was last updated on May 11, 2011.