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Organization
NEW JOURNEY MEDICAL & AESTHETICS
Active
Organization
NEW JOURNEY MEDICAL & AESTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EGRETA STONE NP (NURSE PRACTITIONER/OWNER)
(470) 905-5162
Entity
Organization
Contact information
Practice address
2784 N DECATUR RD UNIT 160, DECATUR, GA 30033-5903
(678) 383-1058
Mailing address
7870 BLEUSPARROW DR, FAIRBURN, GA 30213-6541
(470) 905-5162
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1851170138
NPI NUMBER
GA
Enumeration date
10/11/2023
Last updated
10/11/2023
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