Doctor Name: | DR. ROBERT A STOLTZ |
NPI Number: | 1275584047 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 058018 |
Business Practice Address: | 114 Cherry St Ne Suite F Marietta, GA - 300607277 |
Business Phone Number: | 7702181888 |
Business Fax Number: | 7702180093 |
Mailing Address: | 1100 Johnson Ferry Rd Ne, Suite 593 ATLANTA |
State: | GA |
Postal Code: | 303421709 |
Phone Number: | 4042559096 |
Fax Number: | 4042559097 |
NPI Enumeration Date: | 05/15/2006 |
NPI Last Update Date: | 02/12/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 058018 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
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. |