Individual
STEPHANIE GALLIMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
2537 CEDARCREST RD STE 305-63, ACWORTH, GA 30101-8900
(762) 500-3552
Mailing address
2537 CEDARCREST RD STE 305-63, ACWORTH, GA 30101-8900
(762) 500-3552
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
GA
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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