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Individual

DR. STANLEY WAYNE HIMES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1605 PEACHTREE ST NE, ATLANTA, GA 30309-2433
(706) 580-4059
Mailing address
1605 PEACHTREE ST NE, ATLANTA, GA 30309-2433
(706) 580-4059
(706) 544-1543

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
033839
GA
207R00000X
Internal Medicine Physician
Primary
33839
GA
208D00000X
General Practice Physician
33839
GA

Other

Enumeration date
09/25/2006
Last updated
07/31/2020
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