# STEPHANIE MICHELLE ANTOLINE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1578787651
- **Gender:** F
- **Credential:** D.C.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | CHIRO07709 | GA | Yes |
| 111NN0400X | Neurology Chiropractor | CHIRO07709 | GA | — |
| 111NR0200X | Radiology Chiropractor | CHIRO07709 | GA | — |
| 111NR0400X | Rehabilitation Chiropractor | CHIRO07709 | GA | — |
| 111NS0005X | Sports Physician Chiropractor | CHIRO07709 | GA | — |
| 111NT0100X | Thermography Chiropractor | CHIRO07709 | GA | — |
| 111NX0800X | Orthopedic Chiropractor | CHIRO07709 | GA | — |

## Other

- **Enumeration date:** 04/12/2007
- **Last updated:** 01/27/2025