Healthcare Provider Details

I. General information

NPI: 1407182330
Provider Name (Legal Business Name): STEVEN I LEFF, MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2009
Last Update Date: 10/28/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 JOHNSON FERRY RD NE
ATLANTA GA
30342-1606
US

IV. Provider business mailing address

5505 PEACHTREE DUNWOODY RD NE SUITE 300
ATLANTA GA
30342-1705
US

V. Phone/Fax

Practice location:
  • Phone: 404-257-0814
  • Fax: 404-806-7567
Mailing address:
  • Phone: 404-257-0814
  • Fax: 404-806-7567

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number028590
License Number StateGA

VIII. Authorized Official

Name: STEVEN I LEFF
Title or Position: OPHTHALMOLOGIST
Credential: MD
Phone: 404-257-0814