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Individual

DR. STANTON A STEBBINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
11050 CRABAPPLE ROAD, STE. 120, ROSWELL, GA 30075
(770) 518-9277
(770) 518-8718
Mailing address
11050 CRABAPPLE ROAD, STE. 120, ROSWELL, GA 30075
(770) 518-9277
(770) 518-8718

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
002116
GA
208000000X
Pediatrics Physician
Primary
062439
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
498346592A
GA
05
498346592B
GA
Enumeration date
12/29/2007
Last updated
06/05/2018
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