Individual
STACEY V PEPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1201 7TH ST SE, DECATUR, AL 35601-3337
(256) 341-2000
Mailing address
425 CLOVERLEAF DR, ATHENS, AL 35611-4423
(256) 232-7341
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-108573
AL
Other
Enumeration date
07/14/2011
Last updated
07/14/2011
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