Individual
STACEY MAKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
49 JESSE HILL JR DR SE, ATLANTA, GA 30303-3049
(404) 778-1416
Mailing address
49 JESSE HILL JR DR SE, ATLANTA, GA 30303-3049
(404) 283-3543
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
002847
GA
208000000X
Pediatrics Physician
Primary
064142
GA
Other
Enumeration date
01/27/2008
Last updated
06/10/2011
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