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Individual

DR. EZEQUIEL LEONARDO GLEICHGERRCHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., PH.D.

Contact information

Practice address
12 EXECUTIVE PARK DR NE STE 250, ATLANTA, GA 30329-2206
(404) 778-3444
(404) 778-3444
Mailing address
12 EXECUTIVE PARK DR NE STE 250, ATLANTA, GA 30329-2206
(404) 778-3444

Taxonomy

Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
Primary
94864
GA
2084N0400X
Neurology Physician
38051
SC
2084N0400X
Neurology Physician
94864
GA
2084N0600X
Clinical Neurophysiology Physician
94864
GA
208D00000X
General Practice Physician
38051
SC

Other

Enumeration date
05/15/2015
Last updated
07/25/2024
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