Deaderick, Stuart Joseph
Deaderick, Stuart Joseph is an individual health care provider with primary practice located at 200 W Academy Street , Gainesville GA 30501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Deaderick, Stuart Joseph can be contacted via phone (770) 282-8820.Contact Information
Primary practice address
200 W Academy Street
Gainesville GA 30501
Phone: (770) 282-8820
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 84375 | Georgia |
Profile Details
| NPI number | 1922443183 |
|---|---|
| LBN Legal business name | Deaderick, Stuart Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2013 |
| Last updated | Jan 12th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922443183 | NPPES |
| Georgia | MEDICAID | 003222682G |
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