Individual
GAYLE LEFF GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
465 WINN WAY, STE 140, DECATUR, GA 30030-1753
(404) 298-5557
(404) 297-9480
Mailing address
4844 ADAMS WALK, DUNWOODY, GA 30338-5256
(770) 352-0233
(404) 297-9480
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
049854
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00934062A
—
GA
01
—
2636967
AETNA
GA
01
—
702738
BCBS
—
Enumeration date
08/23/2005
Last updated
04/30/2014
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