Individual
STANLEY FERRELL SOLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
172 MJ TAYLOR RD, ADEL, GA 31620-3497
(229) 896-8500
Mailing address
116 W THIGPEN AVE, LAKELAND, GA 31635-1011
(229) 482-8585
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN115873
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN115873
GA
Other
Enumeration date
08/06/2014
Last updated
03/29/2021
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