Individual
JOHN MICHAEL STAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5 RICHLAND MEDICAL PARK DR, COLUMBIA, SC 29203-6863
(803) 296-2548
Mailing address
5 RICHLAND MEDICAL PARK DR, COLUMBIA, SC 29203-6863
(803) 296-2548
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
68973
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
1808
SC
Other
Enumeration date
07/25/2006
Last updated
07/01/2021
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