Individual
DEBORAH KAY STALCUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1221 MERCHANT WAY, SUIT 101, STATESBORO, GA 30458-0868
(912) 489-4333
Mailing address
144 RAILROAD AVE, ROCKY FORD, GA 30455-7006
(912) 687-2879
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT002122
GA
Other
Enumeration date
11/20/2007
Last updated
11/20/2007
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