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Richard A. Stappenbeck, M.D., P.C.

Psychiatry & Neurology, Neurology in Riverdale, GA. Organization (NPI-2).

NPI number1811240054
StatusActive
Last updated in NPPESOct 25, 2012

Details

NPI
1811240054
Entity type
Organization (NPI-2)
Legal business name
Richard A. Stappenbeck, M.D., P.C.
Organization subpart
No
Enumeration date
Oct 25, 2012
Last updated
Oct 25, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0400X Psychiatry & Neurology, Neurology20825GAYes

Practice location

33 Upper Riverdale Rd Sw
Suite 111
Riverdale, GA 30274-2626

Phone 770-997-4018 · Fax 770-997-8074

Mailing address

33 Upper Riverdale Rd Sw
Suite 111
Riverdale, GA 30274-2626

Phone 770-997-4018 · Fax 770-997-8074

Authorized official

Debbie Stappenbeck
Rn
7709974018

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