Organization
MIGUEL E STUBBS M D P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIGUEL E STUBBS MD (CEO)
(404) 803-5246
Entity
Organization
Contact information
Practice address
230 BEAVER FALLS PL SW, ATLANTA, GA 30331-8326
(404) 803-5246
(770) 991-5012
Mailing address
230 BEAVER FALLS PL SW, ATLANTA, GA 30331-8326
(404) 803-5246
(770) 991-5012
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
037708
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00603006I
—
GA
Enumeration date
08/28/2015
Last updated
08/28/2015
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