Jeffrey A Stovall Jr. (NPI# 1942440169, PAC ID# 9032260575) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1942440169 |
PAC ID by PECOS | 9032260575 |
Professional Enrollment ID | I20090624000597 |
Full Name | Jeffrey A Stovall Jr. |
Address |
1570 Old Alabama Rd Suite 106 Roswell GA 30076-2108 |
Gender | M |
Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
Graduation Year | 1988 |
Primary Specialty | OPTOMETRY |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
1570 Old Alabama Rd, Suite 106, Roswell, GA 30076-2108 |
Street Address |
1570 OLD ALABAMA RD SUITE 106 |
City | ROSWELL |
State | GA |
Zip | 30076-2108 |
Name | Specialty | Organization | Address |
---|---|---|---|
Anila Qidwai | Family Medicine | 1570 Old Alabama Rd, Suite 105, Roswell, GA 30076-2108 |
Name | Specialty | Organization | Address |
---|---|---|---|
Frederick D Fraser | Psychologist, Clinical | 11755 Point Place, Suite B, Roswell, GA 30076 | |
Katharine Haase | Occupational Therapy | Foundation Therapy Center-alpharetta, LLC | 11660 Alpharetta Hwy, Suite 560, Roswell, GA 30076 |
Alexandra N. Katsorelos | Occupational Therapy | Foundation Therapy Center-alpharetta, LLC | 11660 Alpharetta Hwy, Suite 560, Roswell, GA 30076 |
Jennifer Bush | Nurse Practitioner | Wellstar Medical Group, LLC | 4500 Hospital Blvd, Suite 230, Roswell, GA 30076-0001 |
Mark L Gravlee | General Surgery | Wellstar Medical Group, LLC | 4500 Hospital Blvd, Suite 230, Roswell, GA 30076-0001 |
James Haynes | General Surgery | Wellstar Medical Group, LLC | 4500 Hospital Blvd, Suite 230, Roswell, GA 30076-0001 |
Sachin Lavania | Pulmonary Disease | Wellstar Medical Group, LLC | 4500 Hospital Blvd, Suite 230, Roswell, GA 30076-0001 |
Justin Kunes | Orthopedic Surgery | Wellstar Medical Group, LLC | 4500 Hospital Blvd, Suite 230, Roswell, GA 30076-0001 |
Mark H Middleton | General Surgery | Wellstar Medical Group, LLC | 4500 Hospital Blvd, Suite 230, Roswell, GA 30076-0001 |
Jacob Holloway | General Surgery | Wellstar Medical Group, LLC | 4500 Hospital Blvd, Suite 230, Roswell, GA 30076-0001 |
Find all physicians in zip 30076 |
City | ROSWELL |
Zip Code | 30076 |
Specialty | OPTOMETRY |
City + Specialty | ROSWELL + OPTOMETRY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.