Individual
DAVID MANNING STUBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1654 BROAD RD, TIGNALL, GA 30668-1214
(706) 285-2132
Mailing address
1654 BROAD RD, TIGNALL, GA 30668-1214
(706) 285-2132
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
012010
GA
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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