Individual
MS. EMILY A STACKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
503 SHORELINE DR, LANCASTER, SC 29720-6006
(803) 283-0870
(803) 283-3387
Mailing address
503 SHORELINE DR, LANCASTER, SC 29720-6006
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132476741
—
AR
05
—
DM0797
—
SC
Enumeration date
09/27/2006
Last updated
08/13/2008
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