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1023114238
MICKEY DWIGHT STAPP
AUGUSTA, GA
NPI
1023114238
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: GA POD000728)
Enumeration Date
2006-09-15
Last Update Date
2019-07-03
Business Address
MICKEY DWIGHT STAPP D.P.M.
1416 WAINBROOK DR
AUGUSTA, GA 30909-6289
Phone number: 706-312-3668
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Mailing Address
MICKEY DWIGHT STAPP D.P.M.
1416 WAINBROOK DR
AUGUSTA, GA 30909-6289
Phone number: 706-312-3668
Copy
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