Individual
GAWANDA RENEE STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 RADIUM SPRINGS RD, ALBANY, GA 31705-4093
(229) 438-9100
Mailing address
414 PINE BLUFF RD, ALBANY, GA 31705-2128
(229) 733-5337
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
GA
Other
Enumeration date
06/27/2022
Last updated
06/27/2022
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