| Mr Chad Stough, PA-C | |
|
2713 Marietta Highway, Suite 122, Dallas, GA 30157 | |
| (770) 505-3162 | |
| (770) 948-9126 |
| Full Name | Mr Chad Stough |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 2713 Marietta Highway, Dallas, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548570120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 004763 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Chad Stough, PA-C 915 Thornton Road, Lithia Springs, GA 30122 Ph: (770) 739-9292 | Mr Chad Stough, PA-C 2713 Marietta Highway, Suite 122, Dallas, GA 30157 Ph: (770) 505-3162 |
Mary K Rau, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 49 Hosiery Mill Rd, 124, Dallas, GA 30157 Phone: 770-443-6111 | |
Mr. Mark David Roman, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 225 Mary Wallace Way, Dallas, GA 30157 Phone: 770-608-3302 | |
Morgan Elise Benson Baker, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 49 Hosiery Mill Rd Ste 124, Dallas, GA 30157 Phone: 770-443-6111 | |
Lasundra Caslin, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 337 Floating Leaf Way, Dallas, GA 30132 Phone: 423-313-2597 |