Individual
DR. DAVID ALAN STAHURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2140 PEACHTREE RD NW STE 232, ATLANTA, GA 30309-1316
(404) 231-4431
(404) 231-5677
Mailing address
2140 PEACHTREE RD NW STE 232, ATLANTA, GA 30309-1316
(404) 231-4431
(404) 231-5677
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
060615
GA
207Q00000X
Family Medicine Physician
34003002
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000030548
ANTHEM
OH
05
—
0426444
—
OH
01
—
080176229
RAILROAD MCR
OH
05
—
155088371A
—
GA
01
—
341773700028
CARESOURCE
OH
Enumeration date
10/20/2005
Last updated
06/16/2018
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