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MR. MICHAEL LESLEY BARON DO

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1104820125

Individual Registrant:
MR. MICHAEL LESLEY BARON DO
Gender: M
Sole Proprietor

Location and contact information for practice:
1505 LILBURN STONE MTN RD STE 100 STONE MOUNTAIN, GA 30087-1857 US
Tel: 770-469-1711  Fax: 770-469-1837

Contact information for business:
1505 LILBURN STONE MTN RD STE 100 STONE MOUNTAIN, GA 30087-1857 US
Tel: 770-469-1711  Fax: 770-469-1837

Registration Information:
NPI: 1104820125
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
GA0033273

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
00474779RGA05




HEALTH CARE JOBS GA - Page 1



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