Individual
MS. STACEY DENISE LAMPKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAT, LAT, ATC
Contact information
Practice address
1220 W WHEELER PKWY, AUGUSTA, GA 30909-6625
(706) 869-1515
Mailing address
3328 THAMES PL, HEPHZIBAH, GA 30815-7176
(706) 830-6798
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT003231
GA
Other
Enumeration date
04/28/2021
Last updated
04/28/2021
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