Provider Demographics
NPI:1043610843
Name:STROVAS, LESLIE
Entity Type:Individual
Prefix:MRS
First Name:LESLIE
Middle Name:
Last Name:STROVAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3386 HARVEST RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:BUFORD
Mailing Address - State:GA
Mailing Address - Zip Code:30519-7370
Mailing Address - Country:US
Mailing Address - Phone:888-321-1964
Mailing Address - Fax:888-321-1964
Practice Address - Street 1:335 PEACHTREE INDUSTRIAL BLVD
Practice Address - Street 2:SUITE 2301
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-3756
Practice Address - Country:US
Practice Address - Phone:888-321-1964
Practice Address - Fax:888-321-1964
Is Sole Proprietor?:No
Enumeration Date:2014-08-28
Last Update Date:2014-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program