Individual
DR. STACI HARWELL TEBBETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
5983 HIGHWAY 53 E STE 250, DAWSONVILLE, GA 30534-9516
(706) 216-6595
(706) 216-6594
Mailing address
5983 HIGHWAY 53 E STE 250, DAWSONVILLE, GA 30534-9516
(706) 216-6595
(706) 216-6594
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT003012
GA
Other
Enumeration date
05/31/2017
Last updated
09/27/2023
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