| Miguel E. Stubbs, Md Pc | |
|
4760 Austell Rd Ste 1 Austell GA 30106-2007 | |
| (404) 803-5146 | |
| (770) 991-5012 |
| Full Name | Miguel E. Stubbs, Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4760 Austell Rd Ste 1, Austell, Georgia |
| Authorized Official Name and Position | Miguel E Stubbs (CEO) |
| Authorized Official Contact | 4048035246 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miguel E. Stubbs, Md Pc 6724 Church St Ste 3 Riverdale GA 30274-4711 Ph: (770) 991-6186 | Miguel E. Stubbs, Md Pc 4760 Austell Rd Ste 1 Austell GA 30106-2007 Ph: (404) 803-5146 |
| NPI Number | 1558887018 |
|---|---|
| Provider Enumeration Date | 08/16/2017 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558887018 | NPI | - | NPPES |
| 0060300I | Medicaid | GA | |
| N688290 | Other | GA | INTERNAL MEDICINE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RA0401X | Internal Medicine - Addiction Medicine | (* (Not Available)) | Secondary |
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