STELLA WINGATE

MOULTRIE, GA
NPI1215064779
Former NameSTELLA FERNANDEZ
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: GA  PT008525)
Enumeration Date2007-02-28
Last Update Date2015-07-16
Business Address
-- STELLA WINGATE PT
3131 S MAIN ST
MOULTRIE, GA 31768-6925
Phone number: 229-985-3420
Mailing Address
-- STELLA WINGATE PT
PO BOX 40
MOULTRIE, GA 31776-0040
Phone number: 229-985-3420