Individual
STEPHANIE L STUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
304 SHORTER AVE NW STE 201, ROME, GA 30165-4256
(706) 509-3300
Mailing address
420 E 2ND AVE STE 103, ROME, GA 30161-3210
(706) 509-3278
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5545
GA
207Q00000X
Family Medicine Physician
Primary
81952
GA
207Q00000X
Family Medicine Physician
DO2014
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114366127
—
NV
01
—
13587606
CAQH
—
Enumeration date
06/24/2013
Last updated
03/10/2023
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