Individual
MS. KAREN D STACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BSN MN
Contact information
Practice address
2793 CLAIRMONT RD NE, SUITE 213, ATLANTA, GA 30329-2700
(404) 633-0545
(404) 781-0779
Mailing address
2793 CLAIRMONT RD NE, SUITE 213, ATLANTA, GA 30329-2700
(404) 633-0545
(404) 781-0779
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
RN047976
GA
163WC1600X
Continuing Education/Staff Development Registered Nurse
RN047976
GA
163WD0400X
Diabetes Educator Registered Nurse
RN047976
GA
163WN1003X
Nutrition Support Registered Nurse
RN047976
GA
Other
Enumeration date
10/08/2012
Last updated
10/08/2012
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