Individual
JAMES ADRIAN STACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
304 TURNER MCCALL BLVD SW, ROME, GA 30165-5621
(706) 509-5000
Mailing address
PO BOX 673, TRENTON, GA 30752-0673
(423) 580-3693
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN273053
GA
Other
Enumeration date
01/25/2018
Last updated
01/25/2018
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