Doctor Name: | STEPHANIE H. RESNICK |
NPI Number: | 1275575540 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 234678 |
Business Practice Address: | 2550 Windy Hill Rd Se Suite 302 Marietta, GA - 300678665 |
Business Phone Number: | 7706459181 |
Business Fax Number: | 7706458455 |
Mailing Address: | 3155 N Point Pkwy, Building F, Suite 100, Attn: Credentialing ALPHARETTA |
State: | GA |
Postal Code: | 300055481 |
Phone Number: | 7706459181 |
Fax Number: | 7706458455 |
NPI Enumeration Date: | 06/12/2006 |
NPI Last Update Date: | 09/03/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 234678 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |