Individual
FRANK DURHAM STEGALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
504 REDMOND RD NW, ROME, GA 30165-1416
(706) 235-3855
(706) 290-2382
Mailing address
1825 MARTHA BERRY BLVD NW, ROME, GA 30165-1625
(706) 295-5331
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
019107
GA
207RI0011X
Interventional Cardiology Physician
019107
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000138256A
—
GA
Enumeration date
12/27/2006
Last updated
08/02/2010
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