Individual
STACY STEIN GRYBOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
59 EXECUTIVE PARK SOUTH NE, 4TH FLOOR - RADIOLOGY IMAGING, ATLANTA, GA 30329-2208
(404) 778-5834
(404) 778-7015
Mailing address
1161 OAKDALE RD NE, ATLANTA, GA 30307-1284
(404) 370-1551
(404) 370-4145
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
40798
GA
Other
Enumeration date
06/24/2006
Last updated
07/08/2007
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