Individual
LEOPOLDO MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2425 BROOKSTONE CENTRE PKWY, COLUMBUS, GA 31904-4501
(706) 322-1700
Mailing address
PO BOX 1483, TRUJILLO ALTO, PR 00977-1483
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
95759
GA
2080P0205X
Pediatric Endocrinology Physician
95759
GA
208D00000X
General Practice Physician
21115
PR
Other
Enumeration date
06/13/2017
Last updated
09/13/2023
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