Individual
KRISTIAN HOLMES STODGHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4040 HOSPITAL WEST DR, AUSTELL, GA 30106
(770) 732-6798
(770) 732-6732
Mailing address
805 SANDY PLAINS ROAD, MEDICAL STAFF SERVICES, MARIETTA, GA 30066-6340
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT201428
PA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
007977
GA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
58803
GA
Other
Enumeration date
06/25/2012
Last updated
12/04/2019
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