Individual
MRS. STACEY M PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
605 POINTE NORTH BLVD, ALBANY, GA 31721-1514
(229) 435-7161
(229) 438-8588
Mailing address
605 POINTE NORTH BLVD, ALBANY, GA 31721-1514
(229) 435-7161
(229) 438-8588
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004411
GA
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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