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General NPI Number Information
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NPI Number | 1154410538
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Entity Type | Individual
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Provider Name | JEFFREY CRAIG STONE MD
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Gender | Male
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 05/10/2024
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Provider Practice Location Address
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Address Line | 1495 HICKORY FLAT HWY STE 100
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City | CANTON
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State | GA
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Zip | 30115-4266
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Country | US
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Telephone | 678-341-6360
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Fax | 678-626-7900
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Provider Business Mailing Address
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Address Line | 4550 COBB PARKWAY NORTH NW STE 201A
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City | ACWORTH
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State | GA
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Zip | 30101-4182
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Country | US
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Telephone | 770-974-4655
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Fax | 770-974-1970
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 164682
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 062611
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License Number State | GA
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