Individual
KAREN STACKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
567 HAMPTON DR, ORANGEBURG, SC 29118-2213
(803) 347-2105
Mailing address
567 HAMPTON DR, ORANGEBURG, SC 29118-2213
(803) 347-2105
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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