Individual
STACY BERYL WESTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322
(404) 712-2000
Mailing address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ML 60093612
WA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
078849
GA
Other
Enumeration date
07/04/2009
Last updated
07/23/2018
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