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STEPHANIE INGRAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CSA

Contact information

Practice address
863 FLAT SHOALS RD SE STE C238, CONYERS, GA 30094-6633
(770) 354-6940
Mailing address
863 FLAT SHOALS RD SE STE C238, CONYERS, GA 30094-6633
(770) 354-6940

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
3135
GA

Other

Enumeration date
04/16/2008
Last updated
05/10/2022
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