Individual
MR. STIFANOS T ALMEDOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2130 THORNDALE DR SW, LILBURN, GA 30047-4740
(770) 978-0149
(404) 616-2515
Mailing address
2130 THORNDALE DR SW, LILBURN, GA 30047-4740
(770) 978-0149
(404) 616-2515
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003619
GA
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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