Individual
MRS. STACEY STARR PACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1931 WILSON PKY, SUITE A, FAYETTEVILLE, TN 37334
(931) 438-8708
Mailing address
2 BUGTUSSLE RD, FAYETTEVILLE, TN 37334
(931) 438-8708
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0000031614
TN
Other
Enumeration date
05/25/2007
Last updated
01/27/2015
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