Individual
STEPHEN MICHAEL SCANLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
1325 SATELLITE BLVD NW STE 400, SUWANEE, GA 30024-5299
(678) 263-3080
Mailing address
1325 SATELLITE BLVD NW STE 400, SUWANEE, GA 30024-5299
(678) 263-3080
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN216019
GA
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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