Individual
STEPHANIE N BAGWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1230 BAXTER ST, ATHENS, GA 30606-3712
(706) 389-2273
(706) 389-2298
Mailing address
PO BOX 48089, ATHENS, GA 30604-8089
(706) 389-3740
(706) 389-3951
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN216216
GA
Other
Enumeration date
07/22/2021
Last updated
03/04/2026
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