Georgia
Composite Medical Board
LONGO, STACEY LEE, MD
Medical - Physician
License number
064136
Date granted
04/01/2010
Date expires
03/31/2017
Class
Medical - Physician
Status
Active
Address
80 HAZLET AVE | SUITE 11 & 12
georgiadoctors.net
ID 38060734
LAST UPDATED 2024-05-17 10:57:09 UTC
LAST UPDATED 2024-05-17 10:57:09 UTC
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