Stacy H. Kendrick in Austell - Physician Assistant
Stacy H. Kendrick - NPI 1821064395
Stacy H. Kendrick is a Physician Assistant in Austell, Georgia. Stacy H. Kendrick practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Stacy H. Kendrick is 1821064395. The last update date is 2009-02-05.
Stacy H. Kendrick's current location address is 2041 Mesa Valley Way, Austell, Georgia. You can contact this provider via phone number 7709441100 and fax number 7709446469. The mailing address for Stacy H. Kendrick is 2041 Mesa Valley Way, Austell, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacy H. Kendrick |
|---|---|
| Address | 2041 Mesa Valley Way, Austell, Georgia |
| Phone Number | 7709441100 |
| Fax Number | 7709446469 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1821064395 |
|---|---|
| Provider Enumeration Date | 2006-02-24 |
| Last Updated Date | 2009-02-05 |
Provider Mailing Address Detail
| Address | 2041 Mesa Valley Way |
|---|---|
| City | Austell |
| State | Georgia (GA) |
| Post Code | 301068157 |
| Phone Number | 7709441100 |
| Fax Number | 7709446469 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 4549 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 407818938A | GA | -- | |
| 407818938C | GA | -- | |
| 407818938D | GA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Stacy H. Kendrick by the Centers for Medicare & Medicaid Services (CMS)?
The Stacy H. Kendrick has been assigned the NPI (National Provider Identifier) 1821064395. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Stacy H. Kendrick located?
The Stacy H. Kendrick is located at 2041 Mesa Valley Way, Austell, GA 301068157.
Could you please provide the complete physical location address of Stacy H. Kendrick?
The Stacy H. Kendrick is physically situated at 2041 Mesa Valley Way, in the city of Austell, state of GA, with the postal code 301068157.
What is the area of specialization for Stacy H. Kendrick, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Stacy H. Kendrick is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
When was the Stacy H. Kendrick's 1821064395 issued?
The Stacy H. Kendrick's 1821064395 was issued on 2006-02-24.