Individual
JEFFREY CRAIG STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1495 HICKORY FLAT HWY STE 100, CANTON, GA 30115-4266
(678) 341-6360
(678) 626-7900
Mailing address
4550 COBB PARKWAY NORTH NW STE 201A, ACWORTH, GA 30101-4182
(770) 974-4655
(770) 974-1970
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
062611
GA
207Q00000X
Family Medicine Physician
164682
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00933766
—
NY
Enumeration date
10/12/2006
Last updated
05/10/2024
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