Provider Demographics
NPI:1093771958
Name:PALTE, STEPHEN BRYCE (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:BRYCE
Last Name:PALTE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:305 LEDGEMONT CT NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-4800
Mailing Address - Country:US
Mailing Address - Phone:404-255-1619
Mailing Address - Fax:404-255-1675
Practice Address - Street 1:601 MCDONOUGH BLVD SE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30315-4400
Practice Address - Country:US
Practice Address - Phone:404-635-5551
Practice Address - Fax:404-635-5632
Is Sole Proprietor?:No
Enumeration Date:2006-04-20
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA35492207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
E42703Medicare UPIN