Individual
DR. LOREN C STAHL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
618 ORANGE ST, MACON, GA 31201-2057
(478) 745-1191
(478) 750-4669
Mailing address
618 ORANGE ST, MACON, GA 31201-2057
(478) 745-1191
(478) 750-4669
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
013089
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00224188A
—
GA
Enumeration date
01/31/2006
Last updated
07/08/2007
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