Individual
LAURA STEGALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3245 COBB PKWY NW, ACWORTH, GA 30101-3938
(770) 974-0936
Mailing address
2831 INTREPID CUT, MARIETTA, GA 30062-6694
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH027963
GA
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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