Provider Demographics
NPI:1841283876
Name:AUBLEY, GEORGE LEONID (MD)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:LEONID
Last Name:AUBLEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6460 SPALDING DR
Mailing Address - Street 2:STE A
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30092-1805
Mailing Address - Country:US
Mailing Address - Phone:770-449-6320
Mailing Address - Fax:770-409-8457
Practice Address - Street 1:6460 SPALDING DR
Practice Address - Street 2:STE A
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30092-1805
Practice Address - Country:US
Practice Address - Phone:770-449-6320
Practice Address - Fax:770-409-8457
Is Sole Proprietor?:No
Enumeration Date:2005-08-24
Last Update Date:2010-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA030262207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA1841283876OtherNPI
GA000365472BMedicaid
GA1841283876OtherNPI
GA000365472BMedicaid