Individual
ANGELA G STILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3320 OLD JEFFERSON ROAD, BLDG 200 STE A, ATHENS, GA 30607
(706) 549-5560
(706) 353-0636
Mailing address
3320 OLD JEFFERSON ROAD, BLDG 200 STE A, ATHENS, GA 30607
(706) 549-5560
(706) 353-0636
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
004008
GA
363AM0700X
Medical Physician Assistant
004008
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
386137122A
—
GA
Enumeration date
08/09/2005
Last updated
01/07/2008
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