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STEILAN IMAN SUMPTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
5775 JIMMY CARTER BLVD STE 200, NORCROSS, GA 30071-2900
(678) 646-3627
Mailing address
5775 JIMMY CARTER BLVD STE 200, NORCROSS, GA 30071-2900
(678) 646-3627

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1201820
GA

Other

Enumeration date
07/26/2024
Last updated
07/26/2024
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