Organization
STEPHANNIE'S SPECIALTIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANNIE KING CORN (SERVICE COORDINATOR)
(706) 270-2157
Entity
Organization
Contact information
Practice address
4210 BANDY RD, RINGGOLD, GA 30736-8699
(706) 270-2157
(706) 935-8996
Mailing address
4210 BANDY RD, RINGGOLD, GA 30736-8699
(706) 270-2157
(706) 935-8996
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/15/2007
Last updated
10/15/2007
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