Individual
STEPHANIE OPILA DOTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
105 COLLIER RD NW, SUITE 2000, ATLANTA, GA 30309-1710
(404) 352-1053
(404) 350-0840
Mailing address
900 CIRCLE 75 PKWY SE, SUITE 1700, ATLANTA, GA 30339-3035
(770) 953-6929
(770) 953-6972
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005869
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00991746
RR MEDICARE
GA
Enumeration date
06/11/2010
Last updated
06/03/2014
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