MEDICARE: BRIAN STENBERG 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
1	208200000X	Plastic Surgery Physician	35772	GA

General Provider Information

NPI Number	:	1942737911
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN STENBERG MD

Provider Business Mailing Address
First Line	:	PO BOX 567145
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	31156-7145
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1117 PERIMETER CTR STE 502
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30338-5451
Country	:	US
Telephone Number	:	404-825-4397
Fax Number	:

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

Provider Enumeration Date	:	05/21/2017
Last Update Date	:	05/21/2017

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Directions to “ BRIAN STENBERG MD” Practice Location

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