Individual
STACY JOANNE STORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 TAYLOR ST STE A, COLUMBIA, SC 29201-2740
(803) 256-7494
(803) 799-0746
Mailing address
601 TAYLOR ST STE A, COLUMBIA, SC 29201-2740
(803) 256-7494
(803) 799-0746
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
34825
SC
Other
Enumeration date
06/12/2012
Last updated
03/14/2024
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