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Individual

DR. BRETT KENDALL STANGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
80 NEWNAN STATION DR, SUITE A, NEWNAN, GA 30265-3194
(770) 251-2060
Mailing address
PO BOX 73709, NEWNAN, GA 30271-3709
(770) 251-2060

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
068955
GA
207L00000X
Anesthesiology Physician
2010-00533
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5914325
NC
Enumeration date
12/11/2007
Last updated
02/02/2015
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