Gary Stillwagon in Lawrenceville - Specialist
Gary Stillwagon - NPI 1548244817
Gary Stillwagon is a Specialist in Lawrenceville, Georgia. Gary Stillwagon practices all healthcare services and medical treatments related to Specialist. The NPI Number for Gary Stillwagon is 1548244817. The last update date is 2015-07-13.
Gary Stillwagon's current location address is 698 Duluth Hwy, Lawrenceville, Georgia. You can contact this provider via phone number 7709628888 and fax number 7709637447. The mailing address for Gary Stillwagon is 698 Duluth Hwy, Lawrenceville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Stillwagon |
|---|---|
| Address | 698 Duluth Hwy, Lawrenceville, Georgia |
| Phone Number | 7709628888 |
| Fax Number | 7709637447 |
| Sole Proprietor | N |
| Credentials | M.D |
NPI Number Detail
| NPI Number | 1548244817 |
|---|---|
| Provider Enumeration Date | 2005-12-01 |
| Last Updated Date | 2015-07-13 |
Provider Mailing Address Detail
| Address | 698 Duluth Hwy |
|---|---|
| City | Lawrenceville |
| State | Georgia (GA) |
| Post Code | 300467645 |
| Phone Number | 7709628888 |
| Fax Number | 7709637447 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 35774 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000582524H | GA | -- | |
| 000582524J | GA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Gary Stillwagon by the Centers for Medicare & Medicaid Services?
The Gary Stillwagon has been issued the NPI (National Provider Identifier) 1548244817. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Gary Stillwagon is physically located?
The Gary Stillwagon is situated at the following address: 698 Duluth Hwy, Lawrenceville, GA 300467645.
What is Gary Stillwagon's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Gary Stillwagon is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
On what date did the Gary Stillwagon receive its 1548244817 assignment from the Centers for Medicare & Medicaid Services?
The Gary Stillwagon was assigned its 1548244817 by the Centers for Medicare & Medicaid Services on 2005-12-01.
As of what date were the details pertaining to Gary Stillwagon last refreshed?
The information related to the Gary Stillwagon, including its address, specialty, and other relevant details, was last updated on 2015-07-13.