Stebbins, Stanton A

Stebbins, Stanton A is an individual health care provider with primary practice located at 11050 Crabapple Road Ste. 120, Roswell GA 30075. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Stebbins, Stanton A can be contacted via phone (770) 518-9277.

Contact Information

Primary practice address
11050 Crabapple Road Ste. 120 Roswell GA 30075
Phone: (770) 518-9277
Fax: (770) 518-8718
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 002116 Georgia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 062439 Georgia

Profile Details

NPI number 1770768541
LBN Legal business name Stebbins, Stanton A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2007
Last updated Jun 5th, 2018 - about 8 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 1770768541 NPPES
Georgia MEDICAID 498346592B
Georgia MEDICAID 498346592A

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