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Individual

LEONID ZLOTCAVITCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
800 MOUNT VERNON HWY NE STE 125, ATLANTA, GA 30328-4294
(770) 804-1684
Mailing address
800 MOUNT VERNON HWY NE STE 125, ATLANTA, GA 30328-4294
(770) 804-1684
(770) 804-1679

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME139587
FL
390200000X
Student in an Organized Health Care Education/Training Program
RS2018-0592
NM
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/31/2015
Last updated
09/04/2020
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