Individual
LESLIE C. STANALAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
116 MIMOSA DR, THOMASVILLE, GA 31792-6605
(229) 584-5570
(229) 551-8697
Mailing address
116 MIMOSA DR, THOMASVILLE, GA 31792-6605
(229) 584-5570
(229) 551-8697
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN205273
GA
Other
Enumeration date
09/17/2013
Last updated
11/24/2020
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