Individual
STACY MARIE PYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1709 BARNWELL ST, COLUMBIA, SC 29201-2641
(803) 254-3376
(803) 254-3883
Mailing address
1709 BARNWELL ST, COLUMBIA, SC 29201-2641
(803) 254-3376
(803) 254-3883
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1528
SC
Other
Enumeration date
07/01/2010
Last updated
07/11/2011
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