Individual
STEPHANIE MARIE WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
303 PARKWAY DR NE, ATLANTA, GA 30312-1212
(404) 265-4000
Mailing address
PO BOX 1698, EVANS, GA 30809-1698
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN192018
GA
Other
Enumeration date
04/17/2018
Last updated
04/17/2018
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