Individual
STEPHANI JO PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1733 GORNTO RD, VALDOSTA, GA 31601-8469
(229) 247-4810
Mailing address
1733 GORNTO RD STE 102-E, VALDOSTA, GA 31601-8469
(229) 247-4810
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HADS001108
GA
Other
Enumeration date
06/02/2023
Last updated
06/02/2023
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