Individual
DR. STACY BLYE GARMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 N A ST, EASLEY, SC 29640-2144
(864) 855-0001
(864) 855-5030
Mailing address
300 E MCBEE AVE, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
160630
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160630
—
SC
Enumeration date
11/04/2005
Last updated
05/12/2021
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