Clemmons, Stacey Lee

Clemmons, Stacey Lee is an individual health care provider with primary practice located at 412 Phillips St W , Douglas GA 31533-2537. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Clemmons, Stacey Lee can be contacted via phone (912) 292-5088.

Contact Information

Primary practice address
412 Phillips St W Douglas GA 31533-2537
Phone: (912) 292-5088
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1942892070
LBN Legal business name Clemmons, Stacey Lee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2021
Last updated Feb 10th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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