Individual provider · Type 1 NPI

Stephanie Ingram, CSA

Surgical Physician Assistant · Conyers, GA

NPI number 1154595676 Active

Practice location

863 Flat Shoals Rd SE Ste C238
Conyers, GA 30094-6633

Call (770) 354-6940 Map

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X3135 (GA)

Surgical Physician Assistant: Definition to come...

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About NPI 1154595676

Stephanie Ingram, CSA's National Provider Identifier is 1154595676, issued on Apr 16, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Conyers, GA. The record was last updated on May 10, 2022.