Individual
DR. STEPHAN U GOEBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
(404) 728-7746
Mailing address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
(404) 728-7746
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
64797
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3000322000
—
WV
01
—
CA7030
RAILROAD MEDICARE GROUP #
WV
01
—
P00611007
RAILROAD MEDICARE
WV
Enumeration date
08/16/2006
Last updated
02/23/2016
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