Moffitt, Stacey Epperson

Moffitt, Stacey Epperson is an individual health care provider with primary practice located at 701 University Blvd E Ste 606 , Tuscaloosa AL 35401-7411. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Moffitt, Stacey Epperson can be contacted via phone (205) 752-2501.

Contact Information

Primary practice address
701 University Blvd E Ste 606 Tuscaloosa AL 35401-7411
Phone: (205) 752-2501
Fax: (205) 759-5874
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA-264 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA.264 Alabama

Profile Details

NPI number 1447294582
LBN Legal business name Moffitt, Stacey Epperson
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Jul 26th, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1447294582 NPPES
Alabama Other 51504089 BLUE CROSS BLUE SHIELD
Alabama MEDICAID 051504089 BLUE CROSS BLUE SHIELD

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