Organization · Type 2 NPI

Stanford Medical Group, Inc

General Practice Physician · Atlanta, GA

NPI number 1457521940 Active

Practice location

142 Mitchell St SW, Suite 200
Atlanta, GA 30303-3439

Call (404) 584-2105 Map

Fax (404) 584-2106

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XNone listed
Physical Therapist 225100000XNone listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

2 other providers at this address

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About NPI 1457521940

Stanford Medical Group, Inc's National Provider Identifier is 1457521940, issued on Mar 11, 2008. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Atlanta, GA. The record was last updated on Jun 5, 2008.