Healthcare Provider Details

I. General information

NPI: 1265591754
Provider Name (Legal Business Name): GARY S FIGIEL MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2006
Last Update Date: 08/22/2020
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 Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: GRAHAM MCDONALD
Title or Position: PRACTICE MANAGER
Credential:
Phone: 404-255-7345