Individual
STEPHANIE NICOLE CARMICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-2273
Mailing address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-2273
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LL82236
SC
2085R0202X
Diagnostic Radiology Physician
Primary
11916
GA
Other
Enumeration date
06/04/2019
Last updated
01/30/2024
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