Kemberly Amanda Stone, PA-C | |
453 Lakes Blvd Suite B, Lake Park Family Care Clinic, Lake Park, GA 31636 | |
(229) 588-2866 | |
Not Available |
Full Name | Kemberly Amanda Stone |
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Gender | Female |
Speciality | Physician Assistant |
Location | 453 Lakes Blvd Suite B, Lake Park, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639208333 | NPI | - | NPPES |
05480 | Other | GA | GEORGIA MEDICAL LICENSE NUMBER: 05480 EXPIRATION 01/31/2016 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 05480 (Georgia) | Primary |
Mailing Address | Practice Location Address |
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Kemberly Amanda Stone, PA-C 453 Lakes Blvd, Suite B, Lake Park, GA 31636-6607 Ph: (229) 588-2866 | Kemberly Amanda Stone, PA-C 453 Lakes Blvd Suite B, Lake Park Family Care Clinic, Lake Park, GA 31636 Ph: (229) 588-2866 |