Individual
KRISTA J STAPLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1735 S HIGHWAY 27, CARROLLTON, GA 30117-8928
(770) 214-7310
Mailing address
1735 S HIGHWAY 27, CARROLLTON, GA 30117-8928
(770) 214-7310
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT002383
GA
Other
Enumeration date
02/18/2009
Last updated
02/18/2009
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