Matthews, Leslie R
Matthews, Leslie R is an individual health care provider with primary practice located at 80 Jesse Hill Jr Dr Se , Atlanta GA 30303-3031. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Matthews, Leslie R can be contacted via phone (404) 616-4307.Contact Information
Primary practice address
80 Jesse Hill Jr Dr Se
Atlanta GA 30303-3031
Phone: (404) 616-4307
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 058705 | Georgia |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 058705 | Georgia |
Profile Details
| NPI number | 1467431916 |
|---|---|
| LBN Legal business name | Matthews, Leslie R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2006 |
| Last updated | Oct 11th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467431916 | NPPES |
| Georgia | MEDICAID | 185783523A |
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