Organization
AX STOCKBRIDGE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE GAMERO (PRESIDENT)
(404) 731-0039
Entity
Organization
Contact information
Practice address
950 EAGLES LANDING PKWY, SUITE 324, STOCKBRIDGE, GA 30281-7343
(404) 731-0039
Mailing address
950 EAGLES LANDING PKWY, SUITE 324, STOCKBRIDGE, GA 30281-7343
(404) 731-0039
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/03/2010
Last updated
09/03/2010
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