Individual
STACEY JOY HAYNES MCCLINTICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2480 LLEWELLYN AVE, FT. MEADE, MD 20755
(912) 349-9945
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6965
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101261652
VA
Other
Enumeration date
04/01/2015
Last updated
07/18/2024
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