Individual provider · Type 1 NPI

Stephanie McIntosh Junior, NP

Pediatric Nurse Practitioner · Carrollton, GA

NPI number 1821630971 Active

Practice location

107 Wedgewood Dr
Carrollton, GA 30117-4335

Call (678) 390-7070 Map

Fax (678) 390-7071

Mailing address

106 Watson Dr
Bremen, GA 30110-1794

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN233377 (GA)
Pediatric Nurse Practitioner Primary 363LP0200XRN233377 (GA)

Pediatric Nurse Practitioner: Definition to come...

2 other providers at this address

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About NPI 1821630971

Stephanie McIntosh Junior, NP's National Provider Identifier is 1821630971, issued on Oct 10, 2019. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Carrollton, GA. The record was last updated on Mar 25, 2025.