Individual
DR. JOHN STITES IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1700 TREE LN STE 420, SNELLVILLE, GA 30078
(770) 979-9427
Mailing address
1930 BRANNAN RD, MCDONOUGH, GA 30253-4310
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
081057
GA
208800000X
Urology Physician
25MA10013800
NJ
Other
Enumeration date
11/05/2013
Last updated
08/01/2018
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