Organization
MICHAEL B STUBBS MD PC
Active
Parent organization
MICHAEL B STUBBS MD PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MICHAEL B STUBBS MD PC
Authorized official
DR. MICHAEL B STUBBS M.D. (PRESIDENT)
(404) 292-4348
Entity
Organization
Contact information
Practice address
465 WINN WAY, SUITE 211, DECATUR, GA 30030-1753
(404) 292-4348
(404) 501-0660
Mailing address
465 WINN WAY, SUITE 211, DECATUR, GA 30030-1753
(404) 292-4348
(404) 501-0660
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
022652
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000222252A
—
GA
Enumeration date
12/23/2009
Last updated
12/16/2010
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