Individual
DR. DYLAN ELDON STENTIFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2212
(404) 686-8181
Mailing address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2212
(404) 686-8181
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
207R00000X
MA
207R00000X
Internal Medicine Physician
Primary
82245
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
25355252
—
NM
Enumeration date
06/10/2008
Last updated
02/14/2019
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