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Contact Information

STEPHANIE AMBROSE, MD
550 PEACHTREE ST NE
SUITE 1135
ATLANTA, GA30308-2212
 Phone: 404-727-9610
 Fax: 404-712-1540
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Otolaryngology

207YP0228X 04 Physician/Otolaryngology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for STEPHANIE AMBROSE · (Female)

NPI # 1093011249
Status Active
Credentials MD
Entity Individual
Enumeration date 02/07/2011
Last updated 06/23/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 75594
  • VA License # 0116023541
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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