Individual
DR. ALEXANDER STEPHEN MAYBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2212
(404) 686-4411
Mailing address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2212
(404) 686-4411
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
073621
GA
207P00000X
Emergency Medicine Physician
273463
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/28/2011
Last updated
01/22/2018
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