Individual
ANTONIO STITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5215 COLLEY AVE, NORFOLK, VA 23508-2166
(704) 650-7927
Mailing address
2774 AVINGTON LN SE, SMYRNA, GA 30080-8524
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/05/2018
Last updated
06/05/2018
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