Individual
STEPHEN ALAN DAYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
830 JOHNS LANDING WAY, LAWRENCEVILLE, GA 30045-6369
(770) 696-5254
Mailing address
830 JOHNS LANDING WAY, LAWRENCEVILLE, GA 30045-6369
(770) 696-5254
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD423670
PA
208D00000X
General Practice Physician
MD423670
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010386780001
—
PA
Enumeration date
06/03/2011
Last updated
12/30/2015
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