Individual
DR. MARK ANTHONY STILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4274 PEACHTREE RD NE, SUITE 203, ATLANTA, GA 30319-3015
(678) 805-7238
Mailing address
4274 PEACHTREE RD NE, SUITE 203, ATLANTA, GA 30319-3015
(678) 805-7238
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY003631
GA
Other
Enumeration date
11/12/2012
Last updated
07/18/2013
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