Provider Demographics
NPI:1487641916
Name:CONE, LESLIE A (MD)
Entity Type:Individual
Prefix:DR
First Name:LESLIE
Middle Name:A
Last Name:CONE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:LESLIE
Other - Middle Name:A
Other - Last Name:CONE-SULLIVAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:550 PEACHTREE ST
Mailing Address - Street 2:19TH FLOOR
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308
Mailing Address - Country:US
Mailing Address - Phone:404-215-2000
Mailing Address - Fax:404-215-2001
Practice Address - Street 1:550 PEACHTREE STREET
Practice Address - Street 2:19TH FLOOR
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308
Practice Address - Country:US
Practice Address - Phone:404-215-2000
Practice Address - Fax:404-215-2001
Is Sole Proprietor?:No
Enumeration Date:2005-09-30
Last Update Date:2009-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA039547208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000669853BMedicaid
GA000669853CMedicaid
GA000669853DMedicaid
GA25BBFVBMedicare PIN
GA000669853DMedicaid