Individual
CHARLETHA STOKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
169 HEATHWOOD DR, MACON, GA 31206-5211
(478) 501-0518
Mailing address
169 HEATHWOOD DR, MACON, GA 31206-5211
(478) 501-0518
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN180633
GA
Other
Enumeration date
10/09/2018
Last updated
10/09/2018
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