Individual
JAMILA STAPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
888 PINE ST, MACON, GA 31201-2109
(678) 895-8585
Mailing address
777 HEMLOCK ST, MACON, GA 31201-2102
(678) 895-8585
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
12145
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2020
Last updated
08/25/2021
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