Provider Demographics
NPI:1801978291
Name:FOX, LEANNE M (MD, MPH, DTM&H)
Entity type:Individual
Prefix:DR
First Name:LEANNE
Middle Name:M
Last Name:FOX
Suffix:
Gender:F
Credentials:MD, MPH, DTM&H
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1728 NOBLE DR NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30306-3142
Mailing Address - Country:US
Mailing Address - Phone:404-272-8016
Mailing Address - Fax:
Practice Address - Street 1:DIVISION OF PARASITIC DISEASE, CDC
Practice Address - Street 2:4770 BUFORD HIGHWAY, NE, MS F-22
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30341
Practice Address - Country:US
Practice Address - Phone:770-488-7707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2054342080P0208X
GA0522692080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2040506Medicaid
I04396Medicare UPIN