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Individual

MS. TEJAH ZHAMARE STANLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
250 GEORGIA AVE SE STE 206, ATLANTA, GA 30312-3000
(404) 653-0374
Mailing address
3378 GREENBRIAR PKWY SW APT 9201, ATLANTA, GA 30331-0620
(443) 618-5308

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
10/30/2019
Last updated
10/30/2019
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