Stacey Allen Hathcock in Cordele - Physical Therapist

Stacey Allen Hathcock - NPI 1083816243

Stacey Allen Hathcock is a Physical Therapist in Cordele, Georgia. Stacey Allen Hathcock practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Stacey Allen Hathcock is 1083816243. The last update date is 2009-12-10.

Stacey Allen Hathcock's current location address is 307 Third Avenue, Cordele, Georgia. You can contact this provider via phone number 2292714612 and fax number 2292714616. The mailing address for Stacey Allen Hathcock is 307 Third Avenue, Cordele, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Stacey Allen Hathcock
Address 307 Third Avenue, Cordele, Georgia
Phone Number 2292714612
Fax Number 2292714616
Sole Proprietor N
Credentials DPT

NPI Number Detail

NPI Number 1083816243
Provider Enumeration Date 2007-06-01
Last Updated Date 2009-12-10

Provider Mailing Address Detail

Address 307 Third Avenue
City Cordele
State Georgia (GA)
Post Code 31015
Phone Number 2292714612
Fax Number 2292714616

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No 5830
Definition:
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
474753088A GA --

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FAQs about Stacey Allen Hathcock

What is the unique 10-digit identification code issued to Stacey Allen Hathcock by the Centers for Medicare & Medicaid Services?

The Stacey Allen Hathcock has been assigned the NPI (National Provider Identifier) 1083816243 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Stacey Allen Hathcock's facilities are situated?

The facilities of Stacey Allen Hathcock are physically located at the following address: 307 Third Avenue, Cordele, GA, 31015.

What is Stacey Allen Hathcock's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Stacey Allen Hathcock is Physical Therapist, and the corresponding taxonomy classification code for this specialized field is 225100000X.

On what date did the Stacey Allen Hathcock receive the assignment of its 1083816243 from the Centers for Medicare & Medicaid Services?

The Stacey Allen Hathcock was issued its 1083816243 by the Centers for Medicare & Medicaid Services on 2007-06-01.

When was the information related to Stacey Allen Hathcock most recently updated or refreshed?

The details pertaining to the Stacey Allen Hathcock, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-12-10.

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