Individual
DR. L DAVID STACY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
28 BRIGHTON RD NE, ATLANTA, GA 30309-1549
(404) 351-5620
(404) 355-5620
Mailing address
28 BRIGHTON RD NE, ATLANTA, GA 30309-1549
(404) 351-5620
(404) 355-5620
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
GA10670
GA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
10670
GA
Other
Enumeration date
12/15/2006
Last updated
06/20/2012
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