Individual
DR. STANLEY CARROLL MUSICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
147 MARQUIS DR, FAYETTEVILLE, GA 30214-1566
(601) 668-6469
Mailing address
147 MARQUIS DR, FAYETTEVILLE, GA 30214-1566
(601) 668-6469
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
18415
MS
207L00000X
Anesthesiology Physician
E1879
AR
207L00000X
Anesthesiology Physician
G3630
TX
207V00000X
Obstetrics & Gynecology Physician
E1879
AR
Other
Enumeration date
01/19/2007
Last updated
02/22/2017
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