Individual
MRS. STACI ROBIN HASTINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
715 E 2ND AVE SW, ROME, GA 30161-6148
(706) 291-9898
Mailing address
420 E 2ND AVE STE 103, ROME, GA 30161-3210
(706) 291-5372
(706) 291-5373
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
006500
GA
363AM0700X
Medical Physician Assistant
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639437379
—
GA
Enumeration date
05/01/2012
Last updated
08/22/2024
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