Provider Demographics
NPI:1033220561
Name:STULTING, ROBERT DOYLE (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:DOYLE
Last Name:STULTING
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Gender:M
Credentials:MD
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Mailing Address - Street 1:800 MOUNT VERNON HWY
Mailing Address - Street 2:SUITE 125
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-4295
Mailing Address - Country:US
Mailing Address - Phone:404-256-1125
Mailing Address - Fax:404-256-1964
Practice Address - Street 1:800 MOUNT VERNON HWY
Practice Address - Street 2:SUITE 125
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-4295
Practice Address - Country:US
Practice Address - Phone:404-256-1125
Practice Address - Fax:404-256-1964
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2010-02-09
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Provider Licenses
StateLicense IDTaxonomies
GA22476207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
E50858Medicare UPIN