SHANTORIUS SHANTAE STACKS

ATLANTA, GA
NPI1790489961
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN256370)
Enumeration Date2023-03-29
Last Update Date2023-03-29
Business Address
SHANTORIUS SHANTAE STACKS FNP
2219 BENIDORM CT
ATLANTA, GA 30349-8497
Phone number: 770-572-7109
Mailing Address
SHANTORIUS SHANTAE STACKS FNP
2219 BENIDORM CT
ATLANTA, GA 30349-8497
Phone number: 770-572-7109
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