Individual
DR. JOHN W. STICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1017 RIVERSIDE DR, LAGRANGE, GA 30240-9159
(706) 596-4112
Mailing address
1017 RIVERSIDE DRIVE, LAGRANGE, GA 30240
(706) 596-4112
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
30240
GA
Other
Enumeration date
03/09/2006
Last updated
11/14/2007
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