Stephanie Ingram, CSA Valid NPI

Individual provider · Surgical Physician Assistant · Conyers, GA

NPI

1154595676

Type

Individual (Type 1)

Primary specialty

Surgical Physician Assistant (Physician Assistant)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363AS0400X

License number

3135 (GA)

Sex

Female

Sole proprietor

Yes

Enumerated

2008-04-16

Last updated

2022-05-10