Individual
MRS. STACEY LYNNE EVANS-PAULIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1362 S MAIN ST, ELLIJAY, GA 30540-5410
(706) 276-4741
Mailing address
1203 OGLETHORPE DR NE, BROOKHAVEN, GA 30319-2784
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
006483
GA
363AM0700X
Medical Physician Assistant
034197
NY
Other
Enumeration date
07/19/2012
Last updated
02/05/2026
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