Individual
MRS. STEPHANIE DELPHINE PARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
2603 OSBORNE RD STE E, SAINT MARYS, GA 31558-8907
(770) 627-2675
Mailing address
1372 PEMBRIDGE TRCE NW, KENNESAW, GA 30152-5471
(770) 627-2675
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004454
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004454
PHYSICIAN ASSISTANT LICEN
GA
Enumeration date
04/17/2007
Last updated
11/05/2021
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