Individual
DR. FIDIAS EDUARDO DE LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(044) 321-6111
Mailing address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(044) 321-6111
Taxonomy
Speciality
Code
Description
License number
State
207UN0901X
Nuclear Cardiology Physician
63891
GA
207UN0902X
Nuclear Imaging & Therapy Physician
63891
GA
208D00000X
General Practice Physician
Primary
63891
GA
208D00000X
General Practice Physician
ME104760
FL
Other
Enumeration date
07/07/2008
Last updated
11/09/2022
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