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Individual

KELLIE JO STOTSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
303 MEDICAL DR, SUITE 405, LAGRANGE, GA 30240-4169
(706) 242-5099
(706) 242-5231
Mailing address
303 MEDICAL DR, SUITE 405, LAGRANGE, GA 30240-4169
(706) 242-5099
(706) 242-5231

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
RN262321
FM

Other

Enumeration date
09/29/2016
Last updated
09/29/2016
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