Provider Demographics
NPI:1457334088
Name:TOBIN, LEAH C (MD)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:C
Last Name:TOBIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:993 JOHNSON FERRY RD STE F210
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1688
Mailing Address - Country:US
Mailing Address - Phone:404-256-1727
Mailing Address - Fax:404-256-0192
Practice Address - Street 1:993 JOHNSON FERRY RD STE F210
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342
Practice Address - Country:US
Practice Address - Phone:404-256-1727
Practice Address - Fax:404-256-0192
Is Sole Proprietor?:No
Enumeration Date:2005-11-29
Last Update Date:2019-10-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA44654207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H03431Medicare UPIN
08CBBHHMedicare PIN