Provider Demographics
NPI:1366434698
Name:LEFF, STEPHEN P (MD)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:P
Last Name:LEFF
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5259 MEADOWCREEK DR
Mailing Address - Street 2:
Mailing Address - City:DUNWOODY
Mailing Address - State:GA
Mailing Address - Zip Code:30338-3849
Mailing Address - Country:US
Mailing Address - Phone:770-393-0851
Mailing Address - Fax:404-297-9480
Practice Address - Street 1:465 WINN WAY
Practice Address - Street 2:STE 140
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30030-1753
Practice Address - Country:US
Practice Address - Phone:404-298-5557
Practice Address - Fax:404-297-9480
Is Sole Proprietor?:No
Enumeration Date:2005-08-23
Last Update Date:2007-11-16
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Provider Licenses
StateLicense IDTaxonomies
GA017845207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA0816463OtherUNITED HEALTH CARE INS
GA0522968OtherAETNA INS
GA572149OtherBCBS
GA0816463OtherUNITED HEALTH CARE INS