Parker, Stacey Ann
Parker, Stacey Ann is an individual health care provider with primary practice located at 4791 S Main St , Acworth GA 30101-5324. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Parker, Stacey Ann can be contacted via phone (770) 422-1400.Contact Information
Primary practice address
4791 S Main St
Acworth GA 30101-5324
Phone: (770) 422-1400
Fax: (678) 290-6728
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 060022 | Georgia |
Profile Details
| NPI number | 1891965281 |
|---|---|
| LBN Legal business name | Parker, Stacey Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 3rd, 2008 |
| Last updated | Mar 23rd, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891965281 | NPPES |
| Georgia | Other | 060022 | LICENSE |
| Georgia | MEDICAID | 120103132A | LICENSE |
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