Individual
STEPHANIE TAMEIKA GLOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
517 N BEECH ST, OCILLA, GA 31774-1213
(229) 848-4146
Mailing address
517 N BEECH ST, OCILLA, GA 31774-1213
(229) 848-4146
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
07/13/2017
Last updated
07/21/2022
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