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Dr. Gary Stillwagon, MD
Radiation Oncology Physician in Lawrenceville, Georgia
NPI 1548244817

Gary Stillwagon is a Radiation Oncology Physician based in Atlanta, GA and is specialized in Radiation Oncology. Gary Stillwagon practices in Lawrenceville, GA and has the professional credentials of MD. The NPI Number for Gary Stillwagon is 1548244817 and holds a License No. 035774 (Georgia).

The current practice location address for Gary Stillwagon is 698 Duluth Hwy, Lawrenceville, GA and can be reached out via phone at 770-962-8888 and via fax at 770-963-7447.

Location: 698 Duluth Hwy, Lawrenceville, GA, 30368-6470
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548244817
Provider Name
Gary Stillwagon
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
698 Duluth Hwy, Lawrenceville, GA, 30368-6470
Phone Number
770-962-8888
Fax Number
770-963-7447
Provider Enumeration Date
12/01/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000582524H 05 GA
000582524J 05 GA
institution
Provider Business Practice Location Address Details
Address
698 Duluth Hwy
City
Lawrenceville
State
Georgia
Zip
30046-7645
Phone Number
770-962-8888
Fax Number
770-963-7447
person
Provider Business Mailing Address Details
Address
698 Duluth Hwy
City
Lawrenceville
State
Georgia
Zip
30046-7645
Phone Number
770-962-8888
Fax Number
770-963-7447
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
035774 (Georgia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
2085R0001X
License No.
035774 (Georgia)
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
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