Individual
CAROLYN M STEPHENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1751 N ELM ST, COMMERCE, GA 30529-2316
(706) 335-3111
(706) 335-0984
Mailing address
452 LAKEVIEW DR, COMMERCE, GA 30529-3022
(706) 423-9686
(706) 335-0984
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH012425
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH012425
PHARMACY STATE LICENCE
GA
Enumeration date
10/10/2006
Last updated
07/08/2007
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