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Contact Information

CAMILO LEAL, MD
20 HERRELL RD
VILLA RICA, GA30180
 Phone: 770-812-3530
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for CAMILO LEAL · (Male)

NPI # 1306257126
Status Active
Credentials MD
Entity Individual
Enumeration date 05/14/2014
Last updated 07/09/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME133544
  • GA License # 83459
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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