Individual
STACIA ANN FRITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 CHAMBLEE TUCKER RD BLDG 16, ATLANTA, GA 30341-4148
(770) 939-1288
(770) 212-2203
Mailing address
2900 CHAMBLEE TUCKER RD BLDG 16, ATLANTA, GA 30341-4148
(770) 939-1288
(770) 212-2203
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8509
GA
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003201797B
—
GA
Enumeration date
07/17/2017
Last updated
07/07/2026
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