Stillwell Medical Group

LBN: Stillwell Medical Group
Stillwell Medical Group is an health care organization with primary practice located at 4160 Logan Dr Unit 1596 , Loganville GA 30052-9516. The organization recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is the primary health care specialty. Stillwell Medical Group can be contacted via phone (678) 557-0207, or through Barker, Latondra Denise via phone (678) 557-0207.

Contact Information

Primary practice address
4160 Logan Dr Unit 1596 Loganville GA 30052-9516
Phone: (678) 557-0207
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Barker, Latondra Denise
Phone: (678) 557-0207

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3135 Georgia

Profile Details

NPI number 1659414175
LBN Legal business name Stillwell Medical Group
DBA Doing business as
Authorized official Barker, Latondra Denise
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2007
Last updated Feb 4th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers