Provider Demographics
NPI:1285933903
Name:NEMYER, STEPHANIE MARIE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:MARIE
Last Name:NEMYER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 796
Mailing Address - Street 2:
Mailing Address - City:ORCHARD HILL
Mailing Address - State:GA
Mailing Address - Zip Code:30266-0796
Mailing Address - Country:US
Mailing Address - Phone:404-934-8466
Mailing Address - Fax:770-228-9013
Practice Address - Street 1:1655 ZEBULON RD
Practice Address - Street 2:
Practice Address - City:GRIFFIN
Practice Address - State:GA
Practice Address - Zip Code:30224-5155
Practice Address - Country:US
Practice Address - Phone:770-228-5009
Practice Address - Fax:770-228-9013
Is Sole Proprietor?:No
Enumeration Date:2011-03-21
Last Update Date:2011-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH025573183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist