Individual
DR. LEON R GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5995 BARFIELD RD, SANDY SPRINGS, GA 30328-4411
(404) 256-1507
(404) 256-1981
Mailing address
5901A PEACHTREE DUNWOODY RD NE, STE 500, ATLANTA, GA 30328-5382
(678) 892-2020
(678) 538-1950
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
016351
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00094212G
—
GA
01
—
02874
COVENTRY PPO
GA
01
—
180021438
RR MEDICARE
GA
01
—
294526
WELLCARE
GA
01
—
4278685
AETNA
GA
01
—
442816
BCBS
GA
01
—
474665
AETNA HMO
GA
01
—
5241
COVENTRY HMO
GA
01
—
582209517
WORK COMP
GA
01
—
890558
UHC
GA
Enumeration date
06/30/2005
Last updated
11/15/2013
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