Individual
CLARA RUIZ STOGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
735 GLYNN ST S, FAYETTEVILLE, GA 30214-2049
(770) 461-4126
(770) 461-5993
Mailing address
735 GLYNN ST S, FAYETTEVILLE, GA 30214-2049
(770) 461-4126
(770) 461-5993
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN142052
GA
Other
Enumeration date
05/04/2007
Last updated
09/26/2012
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