Individual
STACEY MAY LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
61 WHITCHER ST NE STE 4100, MARIETTA, GA 30060-1181
(770) 590-4180
Mailing address
1030 WHISTLING SWAN PL, MARIETTA, GA 30066-2782
(678) 472-4297
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN212448
GA
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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