Provider Demographics
NPI:1629323977
Name:LESLIE, VICTOR YOUNG (MD)
Entity Type:Individual
Prefix:
First Name:VICTOR
Middle Name:YOUNG
Last Name:LESLIE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:4153 FLAT SHOALS PKWY
Mailing Address - Street 2:BUILDING A SUITE 102
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30034-4106
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4153 FLAT SHOALS PKWY
Practice Address - Street 2:BUILDING A SUITE 102
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30034-4106
Practice Address - Country:US
Practice Address - Phone:404-241-7062
Practice Address - Fax:404-243-0357
Is Sole Proprietor?:No
Enumeration Date:2012-07-23
Last Update Date:2018-03-01
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Provider Licenses
StateLicense IDTaxonomies
GA074690208VP0000X, 207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology