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1053874289
BRIANNA STADSVOLD
AUGUSTA, GA
NPI
1053874289
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: GA 10776)
Enumeration Date
2019-04-14
Last Update Date
2019-04-14
Business Address
Dr. BRIANNA STADSVOLD MD
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number: 706-721-2273
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Mailing Address
Dr. BRIANNA STADSVOLD MD
1814 VERDERY ST
AUGUSTA, GA 30904-5716
Phone number: 229-251-3814
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