Stephanie Ingram, CSA

NPI #1154595676 in Conyers, Georgia

Provider Information

NPI Number
1154595676
Entity Type
Individual
Name
Stephanie Ingram, CSA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant - Surgical
Credential
CSA
Enumeration Date
Apr 16, 2008
Last Updated
May 10, 2022

Practice Location

Address
863 FLAT SHOALS RD SE STE C238
State
Georgia
ZIP Code
30094-6633
Phone
(770) 354-6940

Specialties & Taxonomy Codes

Specialty
Physician Assistant - SurgicalSurgical

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