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Organization

IGOR STOJANOV,MD,PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CINDY FOLGER (PRACTICE MANAGER)
(706) 210-2626
Entity
Organization

Contact information

Practice address
3623 J DEWEY GRAY CIR, SUITE 430, AUGUSTA, GA 30909-6511
(706) 210-2626
(706) 210-2799
Mailing address
3623 J DEWEY GRAY CIR, SUITE 430, 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
01
13BDDRH
MEDICARE ID#
GA
05
462916545A
GA
05
G52511
SC
Enumeration date
11/28/2007
Last updated
10/22/2014
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