Individual
STACEY A CRESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1700 HOSPITAL SOUTH DR, SUITE 500, AUSTELL, GA 30106-6810
(770) 941-7717
Mailing address
1230 COMMONWEALTH AVE SW, MARIETTA, GA 30064-3750
(770) 726-9029
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN139554
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50BBKRT
MEDICARE
GA
05
—
857886828B
—
GA
Enumeration date
07/08/2006
Last updated
10/11/2011
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