Provider Demographics
NPI:1518451269
Name:MATZKIN, GIDEON LEIGH (MD)
Entity type:Individual
Prefix:DR
First Name:GIDEON
Middle Name:LEIGH
Last Name:MATZKIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5555 GLENRIDGE CONNECTOR STE 200
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-4815
Mailing Address - Country:US
Mailing Address - Phone:470-589-5858
Mailing Address - Fax:470-589-4040
Practice Address - Street 1:5555 GLENRIDGE CONNECTOR STE 200
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-4815
Practice Address - Country:US
Practice Address - Phone:470-589-5858
Practice Address - Fax:470-589-4040
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-17
Last Update Date:2024-09-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA870952084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty