Individual
STEPHANIE GARRETT INTORCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
350 HOSPITAL DR, MACON, GA 31217-3838
(478) 464-1442
Mailing address
610 3RD ST, STE 202, MACON, GA 31201-3262
(478) 747-3572
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN219744
GA
363LA2100X
Acute Care Nurse Practitioner
RN219744
GA
Other
Enumeration date
07/26/2021
Last updated
08/03/2022
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