Individual
MATTHEW DAVID STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 HOAG DR, NEWPORT BEACH, CA 92663-4162
(949) 764-4624
Mailing address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 727-0093
(404) 712-0561
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
007089
GA
Other
Enumeration date
04/05/2014
Last updated
05/18/2024
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