Individual
CARLES STINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
26 SAINT CLAIR ST, NEWNAN, GA 30263-2029
(770) 755-7460
(770) 755-7461
Mailing address
26 SAINT CLAIR ST, NEWNAN, GA 30263-2029
(770) 755-7460
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN050076
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A-16184
BUSINESS LICENSE
GA
Enumeration date
04/28/2014
Last updated
04/28/2014
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