Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

John William Destefano, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1700639093

John William Destefano, MD is a Student in an Organized Health Care Education/Training Program in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2024.

Licensed in
GA
In the registry since
2024
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1364 Clifton Rd NE
Atlanta, GA 30322-1059
Phone: (404) 778-7777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Anesthesiology Physician Taxonomy 207L00000X · Licence 16082 (GA)

Record details

NPI number1700639093
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 8, 2024
Last updated in NPPESJune 5, 2025
Certification dateJune 5, 2025
Mailing address1364 Clifton Rd Ne, Atlanta, GA 30322-1059

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