Individual
DR. STANLEY S TAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11650 ALPHARETTA HWY STE 100, ROSWELL, GA 30076-3805
(404) 596-5670
Mailing address
11650 ALPHARETTA HWY STE 100, ROSWELL, GA 30076-3805
(404) 596-5670
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
20574
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1699732214
GROUP NPI
WV
05
—
180621000
—
WV
05
—
2265150
—
OH
Enumeration date
05/01/2006
Last updated
03/17/2022
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