Stephanie Lynn Prenzlin
Sports Medicine Doctor
1095 Berkley Dr Se
Smyrna
, Georgia 30082-3105
Stephanie Lynn Prenzlin
Sports Medicine Doctor
1095 Berkley Dr Se
Smyrna
, Georgia 30082-3105
(419) 307-3224
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About
Features
Specialties
- Sports Medicine Doctor
Languages spoken
- English
Location
First Address
- Stephanie Lynn Prenzlin
- 1095 Berkley Dr Se
- Smyrna, GA
- Zip : 30082-3105
- Phone : (419) 307-3224
Second Address
- Stephanie Lynn Prenzlin
- 1095 Berkley Dr Se
- Smyrna, GA
- Zip : 30082-3105
- Phone : (419) 307-3224
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204C00000X | Sports Medicine Doctor | MT007322 | GA |
National Provider Identifier
| NPI | 1326660663 |
|---|---|
| Provider Name | Stephanie Lynn Prenzlin |
| First Address | Smyrna, GA 30082-3105 |
| Second Address | Smyrna, GA 30082-3105 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/05/2020 |
| Last Update Date | 08/05/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.