SearchGeorgia2255A2300X

Dustin Le, ATC

NPI 1720621022 · on the registry since 2019 · sole proprietor

Practice

Address
1775 M H Jackson Service Rd
Atlanta, GA 30354
Phone
(404) 714-3420
Clinicians at this address
4

Additional practice sites

  • 1269 Barclay Cir Se, Marietta, GA

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-03-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia