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1730330101
STEPHANIE L MATHIS
KENNESAW, GA
NPI
1730330101
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Former Name
STEPHANIE WILLIAMS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA 115936)
Enumeration Date
2008-10-03
Last Update Date
2022-02-15
Business Address
STEPHANIE L MATHIS FNP-C
750 TOWNPARK LAKE KAISER PERMANENTE TOWNPARK COMPREHENSIVE MEDICAL CENTER
KENNESAW, GA 30144
Phone number: 770-514-5401
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Mailing Address
STEPHANIE L MATHIS FNP-C
3495 PIEDMONT ROAD, NE NINE PIEDMONT CENTER
ATLANTA, GA 30305
Phone number: 404-504-5678
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