Provider Demographics
NPI:1568627123
Name:LEON - HERNANDEZ, ANGELA PATRICIA (MD)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:PATRICIA
Last Name:LEON - HERNANDEZ
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1001 GARDEN VIEW DR NE
Mailing Address - Street 2:APARTMENT 1216
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30319-5825
Mailing Address - Country:US
Mailing Address - Phone:347-884-2179
Mailing Address - Fax:
Practice Address - Street 1:80 JESSE HILL JR DR SE
Practice Address - Street 2:SUITE 316
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30303-3031
Practice Address - Country:US
Practice Address - Phone:404-727-5772
Practice Address - Fax:404-727-7094
Is Sole Proprietor?:No
Enumeration Date:2008-07-23
Last Update Date:2014-08-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA723322080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine