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1588775027
LEILA E STALLWORTH
AUGUSTA, GA
NPI
1588775027
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: GA 043130)
Enumeration Date
2006-08-31
Last Update Date
2011-04-01
Business Address
-- LEILA E STALLWORTH MD
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number: 706-721-2191
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Mailing Address
-- LEILA E STALLWORTH MD
1499 WALTON WAY STE 1400
AUGUSTA, GA 30901-2602
Phone number: 706-724-6100
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