Doctor Name: | STEPHANIE SANDS |
NPI Number: | 1215309000 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 11449 |
Business Practice Address: | 550 Peachtree St Ne Suite 1900 Atlanta, GA - 303082212 |
Business Phone Number: | 4042152050 |
Business Fax Number: | 4042152051 |
Mailing Address: | 550 Peachtree St Ne, Suite 1900 ATLANTA |
State: | GA |
Postal Code: | 303082212 |
Phone Number: | 4042152050 |
Fax Number: | 4042152051 |
NPI Enumeration Date: | 10/20/2015 |
NPI Last Update Date: | 03/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 11449 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |