Stanford Medical Group, Inc in Atlanta - General Practice
Stanford Medical Group, Inc - NPI 1457521940
Stanford Medical Group, Inc is a General Practice in Atlanta, Georgia. Stanford Medical Group, Inc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Stanford Medical Group, Inc is 1457521940. The last update date is 2008-06-05.
Stanford Medical Group, Inc's current location address is 142 Mitchell St Sw, Atlanta, Georgia. You can contact this provider via phone number 4045842105 and fax number 4045842106. The mailing address for Stanford Medical Group, Inc is 142 Mitchell St Sw, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Stanford Medical Group, Inc |
|---|---|
| Address | 142 Mitchell St Sw, Atlanta, Georgia |
| Phone Number | 4045842105 |
| Fax Number | 4045842106 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Junco Patino Jeanette |
| Telephone Number | 7868371175 |
NPI Number Detail
| NPI Number | 1457521940 |
|---|---|
| Provider Enumeration Date | 2008-03-11 |
| Last Updated Date | 2008-06-05 |
Provider Mailing Address Detail
| Address | 142 Mitchell St Sw |
|---|---|
| City | Atlanta |
| State | Georgia (GA) |
| Post Code | 303033439 |
| Phone Number | 4045842105 |
| Fax Number | 4045842106 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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What is the unique 10-digit identification code issued to Stanford Medical Group, Inc by the Centers for Medicare & Medicaid Services?
The Stanford Medical Group, Inc has been assigned the NPI (National Provider Identifier) 1457521940 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Stanford Medical Group, Inc is located?
The Stanford Medical Group, Inc is situated at the following address: 142 Mitchell St Sw, Atlanta, GA, 303033439.
What is the Stanford Medical Group, Inc's specialty and taxonomy code?
The Stanford Medical Group, Inc's specialty is General Practice, and the corresponding taxonomy code is 208D00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1457521940 to Stanford Medical Group, Inc?
The Centers for Medicare & Medicaid Services assigned the 1457521940 to Stanford Medical Group, Inc on 2008-03-11.
As of what date were the Stanford Medical Group, Inc's details last updated?
The information pertaining to the Stanford Medical Group, Inc, including its address, specialty, and other details, was most recently updated on 2008-06-05.