Individual
STEPHENIE TSUI LEROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4441 ATLANTA RD SE SUITE 212, SMYRNA, GA 30080
(470) 956-4100
Mailing address
4441 ATLANTA RD SE SUITE 212, SMYRNA, GA 30080
(470) 956-4100
(770) 999-2463
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-04221
NC
363A00000X
Physician Assistant
Primary
006004
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003175773A
—
GA
05
—
003175773B
—
GA
05
—
003175773D
—
GA
Enumeration date
10/15/2010
Last updated
06/25/2025
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