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Individual

STACY L BIZZELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
21 ABERDEEN DR, GREENVILLE, SC 29605-2955
(864) 242-4122
(864) 242-5867
Mailing address
50 S B B KING BLVD STE 100, MEMPHIS, TN 38103-9802
(866) 949-0108

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17329
SC

Other

Enumeration date
05/11/2006
Last updated
02/10/2023
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