Provider Demographics
NPI:1093706426
Name:LEARD, STEVEN W (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:W
Last Name:LEARD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:847 DURANT PL NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308-1609
Mailing Address - Country:US
Mailing Address - Phone:404-347-9010
Mailing Address - Fax:
Practice Address - Street 1:1101 HOSPITAL DR
Practice Address - Street 2:SUITE 210
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-9075
Practice Address - Country:US
Practice Address - Phone:678-289-0103
Practice Address - Fax:678-289-0171
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-03
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA0404492080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine