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Contact Information

STEPHENIE T LEROSE, PA
4441 ATLANTA RD SE SUITE 212
SMYRNA, GA30080
 Phone: 470-956-4100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for STEPHENIE T LEROSE · (Female)

NPI # 1326358920
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 10/15/2010
Last updated 06/25/2025 - About 11 months ago
Sole proprietor 1 No
Identifiers
  • GA License # 006004
  • NC License # 0010-04221
  • GA Medicaid 003175773A
  • GA Medicaid 003175773B
  • GA Medicaid 003175773D
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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