Organization
STECHISON NEUROSURGERY ATLANTA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL THOMAS STECHISON M.D. PH.D. (PRESIDENT)
(404) 683-0240
Entity
Organization
Contact information
Practice address
743 OLD NORCROSS RD, LAWRENCEVILLE, GA 30046-4317
(404) 683-5240
Mailing address
819 GLENDALE TER NE, ATLANTA, GA 30308-1652
(404) 683-5240
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
040561
GA
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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