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1154595676
STEPHANIE INGRAM
CONYERS, GA
NPI
1154595676
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: GA 3135)
Enumeration Date
2008-04-16
Last Update Date
2022-05-10
Business Address
STEPHANIE INGRAM CSA
863 FLAT SHOALS RD SE STE C238
CONYERS, GA 30094-6633
Phone number: 770-354-6940
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Mailing Address
STEPHANIE INGRAM CSA
863 FLAT SHOALS RD SE STE C238
CONYERS, GA 30094-6633
Phone number: 770-354-6940
Copy
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