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
Update your record
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