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NPI Code Detail

MEDICARE: DOUGLAS S. STUART M.D.

MEDICARE:   DOUGLAS S. STUART  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
12084N0400XNeurology Physician0.5527GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548251572
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOUGLAS S. STUART M.D.
Provider Business Mailing Address
First Line : 3200 DOWNWOOD CIR NW
Second Line : STE 550
City : ATLANTA
State : GA
Zip : 30327-1610
Country : US
Telephone Number : 404-351-0205
Fax Number : 404-351-4187
Provider Business Practice Location Address
First Line : 3200 DOWNWOOD CIR NW
Second Line : STE 550
City : ATLANTA
State : GA
Zip : 30327-1610
Country : US
Telephone Number : 404-351-0205
Fax Number : 404-351-4187
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2005
Last Update Date : 02/15/2018

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Directions to “ DOUGLAS S. STUART M.D.” Practice Location

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