Individual
RICHARD JOHN STAIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
8954 HOSPITAL DR, DOUGLASVILLE, GA 30134-2272
(770) 920-6413
(678) 838-2532
Mailing address
610 ACADIA DR # 7131, ELLIJAY, GA 30540-5986
(770) 634-1287
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
003918
GA
367H00000X
Anesthesiologist Assistant
Primary
003918
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100002432B
—
GA
05
—
491431789A
—
GA
Enumeration date
11/17/2005
Last updated
05/29/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us