Individual
DR. STANTON M MCKENNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4920 ROSWELL RD NE STE 35, ATLANTA, GA 30342-2636
(404) 303-2323
(404) 303-0321
Mailing address
4920 ROSWELL RD NE STE 35, ATLANTA, GA 30342-2636
(404) 303-2323
(404) 303-0321
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
59100
GA
Other
Enumeration date
12/05/2007
Last updated
12/05/2007
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