Provider Demographics
NPI:1952628182
Name:MCINTYRE, NANCY LEIGH (DO)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:LEIGH
Last Name:MCINTYRE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:LEIGH
Other - Last Name:LIGHTFOOT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:3088 PRESTWYCK HAVEN DR
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30097-6207
Mailing Address - Country:US
Mailing Address - Phone:678-727-8390
Mailing Address - Fax:
Practice Address - Street 1:11315 JOHNS CREEK PKWY STE 340
Practice Address - Street 2:
Practice Address - City:JOHNS CREEK
Practice Address - State:GA
Practice Address - Zip Code:30097-2646
Practice Address - Country:US
Practice Address - Phone:770-709-6922
Practice Address - Fax:770-709-6910
Is Sole Proprietor?:No
Enumeration Date:2010-04-28
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA70214207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine