MEDICARE: GEORGE LEONID AUBLEY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	030262	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1841283876	OTHER	GA	NPI
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841283876
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEORGE LEONID AUBLEY M.D.

Provider Business Mailing Address
First Line	:	6460 SPALDING DR
Second Line	:	STE A
City	:	NORCROSS
State	:	GA
Zip	:	30092-1805
Country	:	US
Telephone Number	:	770-449-6320
Fax Number	:	770-409-8457

Provider Business Practice Location Address
First Line	:	6460 SPALDING DR
Second Line	:	STE A
City	:	NORCROSS
State	:	GA
Zip	:	30092-1805
Country	:	US
Telephone Number	:	770-449-6320
Fax Number	:	770-409-8457

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2005
Last Update Date	:	02/02/2010

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