Individual provider · Type 1 NPI
Leroy Fass, MD
Specialist · Atlanta, GA
NPI number
1336297936
Active
Practice location
1472 Wembley Ct NE
Atlanta, GA 30329-3968
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 052501 (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.
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About NPI 1336297936
Leroy Fass, MD's National Provider Identifier is 1336297936, issued on Jan 8, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Atlanta, GA. The record was last updated on Jul 8, 2007.