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1063828408
STEPHANIE EVANS WELLBORN
CUMMING, GA
NPI
1063828408
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: GA 007185)
Enumeration Date
2014-07-07
Last Update Date
2019-01-25
Business Address
STEPHANIE EVANS WELLBORN PA-C
1800 NORTHSIDE FORSYTH DR STE 450
CUMMING, GA 30041
Phone number: 770-444-2191
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Mailing Address
STEPHANIE EVANS WELLBORN PA-C
1800 NORTHSIDE FORSYTH DR STE 450
CUMMING, GA 30041-8483
Phone number: 770-444-2191
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