Individual
STACEY A O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14205 HIGHWAY 92 STE 105, WOODSTOCK, GA 30188-7138
(678) 293-7854
Mailing address
1240 EAGLES LANDING PKWY, SUITE 110, STOCKBRIDGE, GA 30281-5170
(770) 389-3855
(770) 474-8078
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
73828
GA
207Q00000X
Family Medicine Physician
L.3872R
AL
Other
Enumeration date
12/16/2013
Last updated
10/02/2019
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