Individual
MR. MIGUEL E STUBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,P.C.
Contact information
Practice address
3001 S COBB DR SE, SUITE 103, SMYRNA, GA 30080-7809
(678) 556-9460
(678) 556-9462
Mailing address
3330 S COBB DR SE, SUITE B, SMYRNA, GA 30080-4128
(678) 556-9460
(678) 556-9462
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
037708
GA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
037708
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00603006I
—
GA
Enumeration date
06/02/2006
Last updated
03/29/2017
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