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NPI Code Detail

MEDICARE: MR. STANLEY TOBIN LAWHON CAA

MEDICARE:  MR. STANLEY TOBIN LAWHON  CAA
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
1367H00000XAnesthesiologist Assistant8784GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
167-000274OTHEROHOHIO MEDICAL BOARD

General Provider Information

NPI Number : 1477902450
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. STANLEY TOBIN LAWHON CAA
Provider Business Mailing Address
First Line : 5671 PEACHTREE DUNWOODY RD STE 610
Second Line :
City : ATLANTA
State : GA
Zip : 30342-5013
Country : US
Telephone Number : 404-257-8600
Fax Number : 404-851-1649
Provider Business Practice Location Address
First Line : 5671 PEACHTREE DUNWOODY RD STE 610
Second Line :
City : ATLANTA
State : GA
Zip : 30342-5013
Country : US
Telephone Number : 404-257-8600
Fax Number : 404-851-1649
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2016
Last Update Date : 09/29/2018

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Directions to “ MR. STANLEY TOBIN LAWHON CAA” Practice Location

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