Individual
STACIA ANN FRITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1223 AUGUSTA WEST PKWY, AUGUSTA, GA 30909-1807
(706) 410-1202
Mailing address
1223 AUGUSTA WEST PKWY, AUGUSTA, GA 30909-1807
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/17/2017
Last updated
07/17/2017
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