Individual
CHRISTOPHER ADAM STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1602 VERNON RD STE 300, LAGRANGE, GA 30240-4129
(706) 242-5100
Mailing address
409 COLLEGE AVE, LAGRANGE, GA 30240-3015
(229) 938-3101
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
9297
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2019
Last updated
11/06/2019
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