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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. PATRICE LEONIE BASANTA-HENRY, M.D

Active

DR. PATRICE LEONIE BASANTA-HENRY, M.D is a Maternal & Fetal Medicine healthcare provider located in LILBURN, Georgia. NPI 1144406786 is currently active in the NPPES registry. Verify at CMS.

Maternal & Fetal Medicine · LILBURN, GA

Registration Details

NPI Number
1144406786
Provider Type
Individual
Gender
Female
NPI Issued
Jan 14, 2008 (18.606379412574 yrs)
Last Updated
Nov 30, 2020
Licenses
60556 (GA)
000368 (GA)

Practice Information

Address
625 BEAVER RUIN RD NW
SUITE D
LILBURN, GA, 300473401
Browse GA providers · Browse ZIP 30047
Phone
7702793838
Primary Specialty
Maternal & Fetal Medicine
207VM0101X
Additional Specialty
Obstetrics & Gynecology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.