Individual
DR. GEORGE C STACEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
938 FORREST AVE, GADSDEN, AL 35901-3623
(256) 546-4947
(256) 546-8846
Mailing address
938 FORREST AVE, GADSDEN, AL 35901-3623
(256) 546-4947
(256) 546-8846
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5034
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-02634
BC/BS OF AL
AL
Enumeration date
01/30/2008
Last updated
01/30/2008
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