MEDICARE: DR. JOSE PABLO STOLOVITZKY M.D.

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
1	207Y00000X	Otolaryngology Physician	029536	GA
2	207YS0012X	Sleep Medicine (Otolaryngology) Physician	029536	GA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
6	400117110	OTHER	GA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	3969952	OTHER	GA	CIGNA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	52530801	OTHER	GA	BCBS OF GEORGIA
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	4134024	OTHER	GA	AETNA

General Provider Information

NPI Number	:	1558368415
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSE PABLO STOLOVITZKY M.D.

Provider Business Mailing Address
First Line	:	5673 PEACHTREE DUNWOODY RD
Second Line	:	STE 150
City	:	ATLANTA
State	:	GA
Zip	:	30342-1731
Country	:	US
Telephone Number	:	404-297-1780
Fax Number	:	404-252-7255

Provider Business Practice Location Address
First Line	:	5673 PEACHTREE DUNWOODY RD
Second Line	:	STE 150
City	:	ATLANTA
State	:	GA
Zip	:	30342-1731
Country	:	US
Telephone Number	:	404-297-1780
Fax Number	:	404-252-7255

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2005
Last Update Date	:	02/01/2017

Similar Medicare Providers

1396742433 — DR. ROBERT BERNARD HODDESON M.D.
Practice Location Address:

5673 PEACHTREE DUNWOODY RD , STE 150
ATLANTA, GA
30342-1731

Practice Phone: 404-297-1780
Practice Fax: 404-252-7255

1720085756 — DR. MICHAEL JOHN KORIWCHAK M.D.
Practice Location Address:

5673 PEACHTREE DUNWOODY RD , STE 150
ATLANTA, GA
30342-1731

Practice Phone: 404-297-1780
Practice Fax: 404-252-7255

1265433387 — DR. DIANE NYKAMP MCCORTER PHARMD
Practice Location Address:

5673 PEACHTREE DUNWOODY RD NE , SUITE 490
ATLANTA, GA
30342-1731

Practice Phone: 404-851-7633
Practice Fax:

1902887714 — DR. BENJAMIN WHITE M.D.
Practice Location Address:

5673 PEACHTREE DUNWOODY RD , SUITE 150
ATLANTA, GA
30342-1731

Practice Phone: 404-297-1780
Practice Fax: 404-252-7255

1699758672 — DR. MAGDI M HANAFI MD, FACOG, FICS
Practice Location Address:

5673 PEACHTREE DUNWOODY RD NE , SUITE 750
ATLANTA, GA
30342-1731

Practice Phone: 404-851-9300
Practice Fax: 404-851-1358

1700861739 — DR. E CAMERON HEWITT M.D.
Practice Location Address:

5673 PEACHTREE DUNWOODY RD , STE 150
ATLANTA, GA
30342-1731

Practice Phone: 404-297-1780
Practice Fax: 404-252-7255

Directions to “ DR. JOSE PABLO STOLOVITZKY M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.