Individual
DR. ERIC GLEN STANSHINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., M.B.A.
Contact information
Practice address
12 EXECUTIVE PARK DR NE, SUITE 331, ATLANTA, GA 30329-2206
(404) 727-5157
(404) 727-4746
Mailing address
12 EXECUTIVE PARK DR NE, SUITE 331, ATLANTA, GA 30329-2206
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/18/2016
Last updated
04/18/2016
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