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1780257105
STEPHANIE N BAGWELL
ATHENS, GA
NPI
1780257105
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: GA RN216216)
Enumeration Date
2021-07-22
Last Update Date
2024-01-15
Business Address
STEPHANIE N BAGWELL NP
1230 BAXTER ST
ATHENS, GA 30606-3712
Phone number: 706-389-2273
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Mailing Address
STEPHANIE N BAGWELL NP
PO BOX 48089
ATHENS, GA 30604-8089
Phone number: 706-389-3740
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