Organization
EAGLES LANDING PRIMARY CARE SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIGUEL E STUBBS (PARTNER)
(678) 556-9460
Entity
Organization
Contact information
Practice address
3001 S COBB DR SE, SUITE 103, SMYRNA, GA 30080-7809
(678) 556-9460
Mailing address
3001 S COBB DR SE, SUITE 103, SMYRNA, GA 30080-7809
(678) 556-9460
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
07/26/2007
Last updated
07/26/2007
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