Individual
MAYA STAMBOLIYSKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1315 JESSE JEWELL PKWY STE 300, GAINESVILLE, GA 30501
(770) 219-6520
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
78302
GA
2084N0400X
Neurology Physician
ME81256
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261465100
—
FL
Enumeration date
09/22/2005
Last updated
12/21/2020
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