Individual
STANFORD R. PLAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5825 GLENRIDGE DRIVE, BUILDING 3, SUITE 101-123, ATLANTA, GA 30328-3032
(404) 242-6360
(404) 549-2853
Mailing address
438 TARA TRL, ATLANTA, GA 30327-4926
(404) 242-6360
(404) 549-2853
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
17526
NH
207L00000X
Anesthesiology Physician
Primary
39201
GA
207L00000X
Anesthesiology Physician
G136300
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000635599C
—
GA
05
—
000635599E
—
GA
05
—
000635599F
—
GA
05
—
000635599G
—
GA
05
—
000635599H
—
GA
05
—
000635599I
—
GA
05
—
000635599J
—
GA
05
—
000635599K
—
GA
05
—
000635599L
—
GA
05
—
000635599N
—
GA
Enumeration date
10/05/2005
Last updated
09/30/2024
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