Individual
GEORGE WASHBURN STICKNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
595 HURRICANE SHOALS ROAD NW, SUITE 300, LAWRENCEVILLE, GA 30046
(770) 995-0823
(770) 995-7018
Mailing address
595 HURRICANE SHOALS ROAD NW, SUITE 300, LAWRENCEVILLE, GA 30046
(770) 995-0823
(770) 995-7018
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
054128
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000503599A
—
GA
05
—
000503599B
—
GA
05
—
000503599C
—
GA
Enumeration date
11/28/2006
Last updated
08/12/2016
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