Individual
LELI GAIL MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
2701 N DECATUR RD, DECATUR, GA 30033-5918
(404) 501-1849
Mailing address
2100 POWELL STREET, STE 920, EMERYVILLE, CA 94608-1803
(510) 350-2600
(510) 879-9100
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
052182
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
872319687A
—
GA
05
—
872319687D
—
GA
Enumeration date
06/19/2006
Last updated
04/17/2013
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