Individual
STEPHEN KONIGSBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1365 CLIFTON RD NE, ATLANTA, GA 30322-1013
(404) 778-3324
Mailing address
1365 CLIFTON RD NE, ATLANTA, GA 30322-1013
(404) 778-3324
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1076
GA
Other
Enumeration date
07/22/2006
Last updated
07/08/2007
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