Individual
STEPHANIE SMITH WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
713 ANDREWS DR, THOMASTON, GA 30286-4524
(770) 358-5252
(706) 646-6039
Mailing address
713 ANDREWS DR, THOMASTON, GA 30286-4524
(770) 358-5252
(706) 646-6039
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN087917
GA
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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