Individual
STEPHANIE MICHELLE LAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
15328 US HIGHWAY 19 S, THOMASVILLE, GA 31757-4824
(229) 227-1938
(229) 227-5629
Mailing address
15328 US HIGHWAY 19 S, THOMASVILLE, GA 31757-4824
(229) 227-1938
(229) 227-5629
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
LDO002070
GA
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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