Provider Demographics
NPI:1902950462
Name:ESPY, LEISHA HARRELL (DC)
Entity Type:Individual
Prefix:DR
First Name:LEISHA
Middle Name:HARRELL
Last Name:ESPY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 E GORDON AVE
Mailing Address - Street 2:
Mailing Address - City:ROSSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30741-1318
Mailing Address - Country:US
Mailing Address - Phone:706-866-7557
Mailing Address - Fax:706-858-6328
Practice Address - Street 1:100 E GORDON AVE
Practice Address - Street 2:
Practice Address - City:ROSSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30741-1318
Practice Address - Country:US
Practice Address - Phone:706-866-7557
Practice Address - Fax:706-858-6328
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA2728111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor