Individual
JENNIFER STABELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
175 EMERY HWY, MACON, GA 31217-3692
(478) 803-7696
Mailing address
118 WILLIAMSON DR, MACON, GA 31210-5137
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH027873
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RPH027873
—
GA
Enumeration date
09/26/2014
Last updated
03/06/2023
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