Individual
MRS. STEPHANIE TIA TOWNSEND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN,BC
Contact information
Practice address
1841 CLIFTON RD NE, 4TH FLOOR, ATLANTA, GA 30329-4021
(404) 728-6302
(404) 728-6269
Mailing address
125 BARRINGTON DR E, ROSWELL, GA 30076-2314
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN183339
GA
Other
Enumeration date
10/30/2008
Last updated
03/05/2012
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