Individual
STEPHANIE ANN RIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
61 WHITCHER STREET NE, SUITE 2100, MARIETTA, GA 30060-1179
(770) 423-0595
Mailing address
1505 STONEBRIDGE PARKWAY, SUITE 100, WOODSTOCK, GA 30189-8282
(770) 423-0595
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
6001
GA
Other
Enumeration date
12/02/2010
Last updated
04/11/2012
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