Individual
ALETHIA CUNNINGHAM STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
514 TANGLEWOOD DR, THOMASVILLE, GA 31792-6836
(229) 403-6223
Mailing address
514 TANGLEWOOD DR, THOMASVILLE, GA 31792-6836
(229) 403-6223
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN162162
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN162162
NEW GRADUATE NURSE PRACTITIONER
GA
Enumeration date
12/16/2018
Last updated
12/16/2018
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