Individual
CAROLINE STAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
325 VICEROY CURV, STOCKBRIDGE, GA 30281-7780
(770) 882-8287
Mailing address
325 VICEROY CURV, STOCKBRIDGE, GA 30281-7780
(770) 882-8287
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN177818
GA
Other
Enumeration date
06/16/2018
Last updated
06/16/2018
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