Individual
STACEY GOATS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5010 TROTWOOD AVE, COLUMBIA, TN 38401-5074
(931) 279-0041
Mailing address
3013 WINDSOR DR, COLUMBIA, TN 38401-4965
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
27409
TN
Other
Enumeration date
04/16/2020
Last updated
04/16/2020
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