Individual
DR. SMILJKA STOJANOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
206 REES ST, AMERICUS, GA 31709-3753
(229) 924-8001
Mailing address
206 REES ST, AMERICUS, GA 31709-3753
(229) 924-8001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
058223
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003105027A
—
GA
01
—
202I111530
MEDICARE PTAN
GA
Enumeration date
08/04/2006
Last updated
06/11/2011
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