Individual
MRS. STEPHANIE MARY TARRACCIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3869 HIGHWAY 81, LOGANVILLE, GA 30052-3918
(770) 466-3622
(770) 466-3630
Mailing address
3869 HIGHWAY 81, LOGANVILLE, GA 30052-3918
(770) 466-3622
(770) 466-3630
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
072138
GA
Other
Enumeration date
05/05/2010
Last updated
03/27/2018
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