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1548570120
CHAD STOUGH
DALLAS, GA
NPI
1548570120
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 004763)
Enumeration Date
2010-10-15
Last Update Date
2010-10-15
Business Address
Mr. CHAD STOUGH PA-C
2713 MARIETTA HIGHWAY SUITE 122
DALLAS, GA 30157
Phone number: 770-505-3162
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Mailing Address
Mr. CHAD STOUGH PA-C
915 THORNTON ROAD
LITHIA SPRINGS, GA 30122
Phone number: 770-739-9292
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