Pancer, Stuart J

Pancer, Stuart J is an individual health care provider with primary practice located at 2199 College Ave Ne , Atlanta GA 30317-1334. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Pancer, Stuart J can be contacted via phone (770) 396-2496.

Contact Information

Primary practice address
2199 College Ave Ne Atlanta GA 30317-1334
Phone: (770) 396-2496
Fax: (770) 493-6189
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 040187 Georgia

Profile Details

NPI number 1124014022
LBN Legal business name Pancer, Stuart J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Nov 16th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124014022 NPPES
Georgia MEDICAID 00657401D

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