Individual
STEPHANIE POLSINELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5730 GLENRIDGE DR STE 100, SANDY SPRINGS, GA 30328-5579
(404) 816-3000
(404) 946-0404
Mailing address
5730 GLENRIDGE DR STE 100, SANDY SPRINGS, GA 30328-5579
(404) 816-3000
(404) 946-0404
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5724
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5724
STATE LICENSE
—
Enumeration date
11/24/2009
Last updated
04/04/2024
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