Stubbs, Miguel E

Stubbs, Miguel E is an individual health care provider with primary practice located at 3001 S Cobb Dr Se Suite 103, Smyrna GA 30080-7809. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Stubbs, Miguel E can be contacted via phone (678) 556-9460.

Contact Information

Primary practice address
3001 S Cobb Dr Se Suite 103 Smyrna GA 30080-7809
Phone: (678) 556-9460
Fax: (678) 556-9462
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 037708 Georgia
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 037708 Georgia

Profile Details

NPI number 1477591675
LBN Legal business name Stubbs, Miguel E
Credentials M.D.,P.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Mar 29th, 2017 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477591675 NPPES
Georgia MEDICAID 00603006I

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