Individual
STACIE N JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
541 W COLLEGE STREET, SUITE 2000, FLORENCE, AL 35630
(256) 764-2482
(256) 764-2982
Mailing address
541 W COLLEGE STREET, SUITE 2000, FLORENCE, AL 35630
(256) 764-2482
(256) 764-2982
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA 404
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA-404
PA LICENSE
AL
Enumeration date
10/03/2006
Last updated
07/08/2007
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