Individual
LASHANDRA STOVALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6320 WINSTON TRCE, MCDONOUGH, GA 30252-8623
(470) 357-3247
Mailing address
6320 WINSTON TRCE, MCDONOUGH, GA 30252-8623
(470) 357-3247
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
200999
GA
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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