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1770105371
STETSON LEE CARROLL
CUMMING, GA
NPI
1770105371
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 9823)
Enumeration Date
2020-05-18
Last Update Date
2020-10-14
Business Address
STETSON LEE CARROLL
3955 COPPER LEAF LN
CUMMING, GA 30040-4168
Phone number: 775-934-7323
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Mailing Address
STETSON LEE CARROLL
3955 COPPER LEAF LN
CUMMING, GA 30040-4168
Phone number: 775-934-7323
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