Individual
ELISSA ANN STANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3987 BROWN RD, TUCKER, GA 30084-2586
(770) 689-8936
Mailing address
3987 BROWN RD, TUCKER, GA 30084-2586
(770) 689-8936
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9780
GA
Other
Enumeration date
04/21/2020
Last updated
07/10/2025
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