Diavolitsis, Stavros A
Diavolitsis, Stavros A is an individual health care provider with primary practice located at 480 Honeysuckle Rd , Dothan AL 36305-1156. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Diavolitsis, Stavros A can be contacted via phone (334) 836-1212.Contact Information
Primary practice address
480 Honeysuckle Rd
Dothan AL 36305-1156
Phone: (334) 836-1212
Fax: (334) 836-1888
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 23470 | Alabama |
Profile Details
| NPI number | 1730126913 |
|---|---|
| LBN Legal business name | Diavolitsis, Stavros A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1730126913 | NPPES |
| Georgia | MEDICAID | 00903075A | |
| Georgia | Other | 1238723 |
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