Individual
STACEY MARIE LAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
251 HIGHWAY 53 E, CALHOUN, GA 30701-3026
(706) 625-4410
(706) 629-2696
Mailing address
210 WILLOWBROOK DR SE, CALHOUN, GA 30701-1410
(706) 264-6751
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN190644
GA
Other
Enumeration date
05/16/2018
Last updated
09/13/2024
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