Organization
INTERNAL MEDICINE OF NEWTON CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES D STILLERMAN (PRES)
(770) 787-2399
Entity
Organization
Contact information
Practice address
4181 HOSPITAL DR NE, SUITE 401, COVINGTON, GA 30014-2541
(770) 787-2399
(770) 784-0435
Mailing address
4181 HOSPITAL DR NE, SUITE 401, COVINGTON, GA 30014-2541
(770) 787-2399
(770) 784-0435
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
031515
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CE7236
RAILROAD MEDICARE
GA
Enumeration date
07/03/2006
Last updated
02/22/2008
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