Stephanie Ingram, CSA
Stephanie Ingram, CSA is a Surgical Physician Assistant in Conyers, Georgia. Practices as a sole proprietor. Licensed in Georgia.
- Licensed in
- GA
- In the registry since
- 2008
Practice location Address checks out
863 Flat Shoals Rd SE Ste C238Conyers, GA 30094-6633
Phone: (770) 354-6940
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Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X · Licence 3135 (GA) |
|---|
Record details
| NPI number | 1154595676 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CSA |
| Sole proprietor | Yes |
| NPI enumerated | April 16, 2008 |
| Last updated in NPPES | May 10, 2022 |
| Certification date | May 10, 2022 |
| Mailing address | 863 Flat Shoals Rd Se Ste C238, Conyers, GA 30094-6633 |
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