Individual
CHRISTOPHER CALEB STACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15 LAKEVIEW DR, OCEAN SPRINGS, MS 39564-9281
(228) 238-6892
Mailing address
15 LAKEVIEW DR, OCEAN SPRINGS, MS 39564-9281
(228) 238-6892
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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