Individual
DR. AMANDA STANKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
775 GA HIGHWAY 122 W, HAHIRA, GA 31632-1066
(229) 794-2989
Mailing address
3980 ISLAND CREEK RD, VALDOSTA, GA 31601-0187
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
027659
GA
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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