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NPI Code Detail

MEDICARE: DR. DAVID STANLEY MD

MEDICARE:  DR. DAVID  STANLEY  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208800000XUrology Physician2008SC
2208800000XUrology Physician72699GA

General Provider Information

NPI Number : 1184820722
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID STANLEY MD
Provider Business Mailing Address
First Line : 1930 BRANNAN RD
Second Line :
City : MCDONOUGH
State : GA
Zip : 30253-4310
Country : US
Telephone Number : 678-284-4040
Fax Number :
Provider Business Practice Location Address
First Line : 1223 FRIENDSHIP RD STE 100
Second Line :
City : BRASELTON
State : GA
Zip : 30517-5608
Country : US
Telephone Number : 678-205-8387
Fax Number : 678-808-1039
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2007
Last Update Date : 02/25/2025

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Directions to “ DR. DAVID STANLEY MD” Practice Location

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