Individual
STEPHEN CHRISTOPHER DUDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 PROFESSIONAL PL, 303, CARROLLTON, GA 30117-3874
(770) 812-5793
(880) 812-5784
Mailing address
119 AMBULANCE DR, 202, CARROLLTON, GA 30117-3857
(770) 838-8710
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
061845
GA
2084P0800X
Psychiatry Physician
Primary
061845
GA
Other
Enumeration date
04/18/2008
Last updated
05/27/2016
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