Stough, Chad
Stough, Chad is an individual health care provider with primary practice located at 2713 Marietta Highway Suite 122, Dallas GA 30157. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Stough, Chad can be contacted via phone (770) 505-3162.Contact Information
Primary practice address
2713 Marietta Highway Suite 122
Dallas GA 30157
Phone: (770) 505-3162
Fax: (770) 948-9126
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 004763 | Georgia |
Profile Details
| NPI number | 1548570120 |
|---|---|
| LBN Legal business name | Stough, Chad |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 15th, 2010 |
| Last updated | Oct 15th, 2010 - about 16 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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