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Organization
GWINNETT NEONATOLOGY,PC
Active
Organization
GWINNETT NEONATOLOGY,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE DENNIS LEIGH M.D. (PRESIDENT)
(770) 921-4492
Entity
Organization
Contact information
Practice address
700 MEDICAL CENTER BLVD, GWINNETT WOMENS PAVILION, LAWRENCEVILLE, GA 30045-7693
(770) 921-4492
(770) 696-3358
Mailing address
PO BOX 2606, LILBURN, GA 30048-2606
(770) 921-4492
(770) 696-3358
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000593425C
—
GA
05
—
000593425D
—
GA
05
—
000700983B
—
GA
05
—
000700983D
—
GA
05
—
083668065J
—
GA
05
—
083668065K
—
GA
05
—
083668065L
—
GA
05
—
083668065M
—
GA
05
—
10052477
—
GA
05
—
117057
—
GA
05
—
117063
—
GA
01
—
2504633
LEIGH AT AETNA
GA
01
—
2504776
SUSKIN AT AETNA
GA
05
—
300032702A
—
GA
05
—
322060
—
GA
05
—
322063
—
GA
01
—
52051429
LEIGH AT BLUE CROSS
GA
01
—
52412187
SUSKIN AT BLUE CROSS
GA
Enumeration date
12/04/2006
Last updated
08/07/2009
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