Organization
SANDI J. STEPHENS INC.
Active
Other names
Therapeutic Edge
Organization subpart
No
Provider details
NPI number
Authorized official
SANDI JACQUELYN STEPHENS (PRESIDENT)
(404) 964-1072
Entity
Organization
Contact information
Practice address
431 W PONCE DE LEON AVE, SUITE 7, DECATUR, GA 30030-2458
(404) 964-1072
Mailing address
250 NORWOOD AVE NE, ATLANTA, GA 30317-1248
(404) 964-1072
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
004092
GA
Other
Enumeration date
03/05/2008
Last updated
03/05/2008
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