Individual
DR. IGOR STOJANOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3623 J DEWEY GRAY CIR, SUITE 101, AUGUSTA, GA 30909-6511
(706) 210-2626
(706) 210-2799
Mailing address
3623 J DEWEY GRAY CIR, SUITE 101, AUGUSTA, GA 30909-6511
(706) 210-2626
(706) 210-2799
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
052511
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
462916545D
—
GA
05
—
G52511
—
SC
Enumeration date
12/21/2006
Last updated
08/19/2014
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