Individual
MICHAEL BARRY STUBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2675 N DECATUR RD, STE 710, DECATUR, GA 30033-6131
(404) 292-4348
(404) 501-0660
Mailing address
2675 N DECATUR RD, SUITE 710, DECATUR, GA 30033-6131
(404) 292-4348
(404) 501-0660
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
022652
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000222252A
—
GA
Enumeration date
10/06/2005
Last updated
09/17/2015
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