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Individual

TONCRED M STYBLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1365 CLIFTON RD NE, BLDG C, ATLANTA, GA 30322-1013
(404) 778-5372
Mailing address
1365 CLIFTON RD NE, BLDG C, ATLANTA, GA 30322-1013
(404) 778-5372

Taxonomy

Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
30678
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1013943
UNITED HEALTHCARE
GA
01
273522
BCBS
GA
01
515120
US HEALTHCARE
GA
01
Y 19880815
PHCS
GA
Enumeration date
08/13/2006
Last updated
07/08/2007
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