Individual
STANLEY M TENENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1805 PARKE PLAZA CIR, STE 103, STONE MOUNTAIN, GA 30087
(770) 498-9355
(770) 498-6294
Mailing address
1805 PARKE PLAZA CIR, STE 103, STONE MOUNTAIN, GA 30087
(770) 498-9355
(770) 498-6294
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
011493
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00568972A
—
GA
Enumeration date
05/15/2006
Last updated
01/10/2014
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