Provider Demographics
NPI:1578592135
Name:STUBBS, JOSEPH TRUMAN III (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:TRUMAN
Last Name:STUBBS
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 23028
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31403-3028
Mailing Address - Country:US
Mailing Address - Phone:912-303-0891
Mailing Address - Fax:912-303-0893
Practice Address - Street 1:5356 REYNOLDS ST
Practice Address - Street 2:STE 301
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-6016
Practice Address - Country:US
Practice Address - Phone:912-303-0891
Practice Address - Fax:912-303-0893
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2013-12-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA041008174400000X, 207VF0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VF0040XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyFemale Pelvic Medicine and Reconstructive Surgery
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000758777BMedicaid
GAG54572Medicare UPIN