Individual
EMILY STAGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
840 W FLOYD BAKER BLVD, GAFFNEY, SC 29341
(864) 489-3300
(864) 488-3744
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37664
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376649
—
SC
01
—
SCD4416067
MEDICARE PIN
SC
01
—
SCD4416121
MEDICARE PIN
SC
01
—
SCD441J577
MEDICARE PIN
SC
Enumeration date
06/05/2015
Last updated
12/28/2020
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