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NPI Code Detail

MEDICARE: DR. GIDEON LEIGH MATZKIN MD

MEDICARE:  DR. GIDEON LEIGH MATZKIN  MD
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
12084P0800XPsychiatry Physician87095GA

General Provider Information

NPI Number : 1518451269
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GIDEON LEIGH MATZKIN MD
Provider Business Mailing Address
First Line : 5555 GLENRIDGE CONNECTOR STE 200
Second Line :
City : ATLANTA
State : GA
Zip : 30342-4815
Country : US
Telephone Number : 470-589-5858
Fax Number : 470-589-4040
Provider Business Practice Location Address
First Line : 2440 LAWRENCEVILLE HWY STE 200
Second Line :
City : DECATUR
State : GA
Zip : 30033-3267
Country : US
Telephone Number : 470-589-5858
Fax Number : 470-589-4040
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2018
Last Update Date : 02/17/2026

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Directions to “ DR. GIDEON LEIGH MATZKIN MD” Practice Location

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