Individual
MAX E STACHURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-2131
(706) 721-1459
Mailing address
1449 WALTON WAY, STE 1400, AUGUSTA, GA 30901-2650
(706) 724-6100
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
022892
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000227004A
—
GA
05
—
G22892
—
SC
Enumeration date
09/05/2006
Last updated
12/03/2012
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