Individual
STACY MICHAEL OLLIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2200 HIGHWAY 155 N, MCDONOUGH, GA 30252-4846
(678) 490-0341
(678) 490-0349
Mailing address
2200 HIGHWAY 155 N, MCDONOUGH, GA 30252-4846
(678) 490-0341
(678) 490-0349
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
069234
GA
Other
Enumeration date
06/22/2010
Last updated
02/10/2016
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