Organization
SMILJKA STOJANOVIC MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SMILJKA STOJANOVIC (OWNER)
(229) 924-8001
Entity
Organization
Contact information
Practice address
206 REES ST, AMERICUS, GA 31709-3753
(229) 924-8001
Mailing address
206 REES ST, AMERICUS, GA 31709-3753
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003105027A
—
GA
01
—
102G111530
MEDICARE PTAN
GA
Enumeration date
05/06/2010
Last updated
06/11/2011
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