Individual
DR. STANLEY D. SATTERFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2000 PRINCE AVE, ATHENS, GA 30606-6022
(706) 543-8377
(706) 548-2509
Mailing address
2000 PRINCE AVE, ATHENS, GA 30606-6022
(706) 543-8377
(706) 548-2509
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
8718
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00221691A3
—
GA
01
—
11482856
CAQH
GA
01
—
279254
BLUE SHIELD
GA
01
—
421490
UNITED CONCORDIA
GA
Enumeration date
10/12/2006
Last updated
10/23/2012
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