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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467431916 NPPES
Georgia MEDICAID 185783523A

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