Individual
JOSIAH STAGGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
410 SEMINOLE DR NE, MARIETTA, GA 30060-1241
(317) 289-2593
Mailing address
410 SEMINOLE DR NE, MARIETTA, GA 30060-1241
(317) 289-2593
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN266361
GA
Other
Enumeration date
07/03/2021
Last updated
07/03/2021
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