Individual
DR. STUART J PANCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2199 COLLEGE AVE NE, ATLANTA, GA 30317-1334
(770) 396-2496
(770) 493-6189
Mailing address
2199 COLLEGE AVE NE, ATLANTA, GA 30317-1334
(770) 396-2496
(770) 493-6189
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
040187
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00657401D
—
GA
Enumeration date
09/26/2005
Last updated
11/16/2016
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