Stillwell Medical Group
Stillwell Medical Group provides Surgical Assistant services in Loganville, Georgia. Licensed in Georgia. Registered with an NPI since 2007.
- Licensed in
- GA
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
4160 Logan Dr Unit 1596Loganville, GA 30052-9516 Not confirmed with CMS for 10 years — call before visiting
Phone: (678) 557-0207
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 3135 (GA) |
|---|---|
| Surgical Assistant | Taxonomy 246ZC0007X |
Record details
| NPI number | 1659414175 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Latondra Barker — Manager · (678) 557-0207 |
| NPI enumerated | February 14, 2007 |
| Last updated in NPPES | February 4, 2016 |
| Mailing address | 4160 Logan Dr #1596, Loganville, GA 30052 |
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-
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Joel Robinson, SA-C
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