Healthcare Provider Details

I. General information

NPI: 1265412860
Provider Name (Legal Business Name): GARY S FIGIEL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/19/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5505 PEACHTREE DUNWOODY RD NE SUITE 230
ATLANTA GA
30342-1713
US

IV. Provider business mailing address

5505 PEACHTREE DUNWOODY RD NE SUITE 230
ATLANTA GA
30342-1713
US

V. Phone/Fax

Practice location:
  • Phone: 404-497-1830
  • Fax: 404-497-1828
Mailing address:
  • Phone: 404-497-1830
  • Fax: 404-497-1828

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number035254
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: