Individual
JOSEPH WYTCH STUBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2402 OSLER CT, ALBANY, GA 31707-0205
(229) 438-3300
(229) 438-3384
Mailing address
2402 OSLER CT, ALBANY, GA 31707-0205
(229) 438-3300
(229) 438-3384
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
024105
GA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
038556
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00243977D
—
GA
Enumeration date
09/21/2005
Last updated
08/15/2011
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