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Individual

DR. KELLEY A. STAHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
407 E MAPLE ST, SUITE 101, CUMMING, GA 30040-2635
(770) 888-6697
(770) 888-6998
Mailing address
407 E MAPLE ST, SUITE 101, CUMMING, GA 30040-2635
(770) 888-6697
(770) 888-6998

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
054257
GA

Other

Enumeration date
11/16/2005
Last updated
04/30/2012
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