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Raymond L. Stovall, M.D., P.C.

Internal Medicine in Lawrenceville, GA. Organization (NPI-2).

NPI number1003826041
StatusActive
Last updated in NPPESJun 18, 2008

Details

NPI
1003826041
Entity type
Organization (NPI-2)
Legal business name
Raymond L. Stovall, M.D., P.C.
Organization subpart
No
Enumeration date
Aug 9, 2006
Last updated
Jun 18, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine025291GAYes

Practice location

600 Professional Dr
Suite 150
Lawrenceville, GA 30045-7651

Phone 678-376-1800 · Fax 678-376-5500

Mailing address

600 Professional Dr
Suite 150
Lawrenceville, GA 30045-7651

Phone 678-376-1800 · Fax 678-376-5500

Authorized official

Raymond L Stovall
Owner
6783761800

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