Lacey Stockton Pfau in Gainesville - Medical

Lacey Stockton Pfau - NPI 1588835094

Lacey Stockton Pfau is a Medical in Gainesville, Georgia. Lacey Stockton Pfau practices all healthcare services and medical treatments related to Medical. The NPI Number for Lacey Stockton Pfau is 1588835094. The last update date is 2021-11-12.

Lacey Stockton Pfau's current location address is 743 Spring St Ne, Gainesville, Georgia. You can contact this provider via phone number 7705353611 and fax number 7705357092. The mailing address for Lacey Stockton Pfau is 743 Spring St Ne, Gainesville, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Lacey Stockton Pfau
Address 743 Spring St Ne, Gainesville, Georgia
Phone Number 7705353611
Fax Number 7705357092
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1588835094
Provider Enumeration Date 2008-03-13
Last Updated Date 2021-11-12

Provider Mailing Address Detail

Address 743 Spring St Ne
City Gainesville
State Georgia (GA)
Post Code 30501
Phone Number 7705353611
Fax Number 7705357092

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

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FAQs about Lacey Stockton Pfau

What is the unique identifier code issued to Lacey Stockton Pfau by the Centers for Medicare & Medicaid Services (CMS)?

The Lacey Stockton Pfau has been assigned the NPI (National Provider Identifier) 1588835094. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of Lacey Stockton Pfau?

The Lacey Stockton Pfau is physically situated at 743 Spring St Ne, in the city of Gainesville, state of GA, with the postal code 30501.

What is the Lacey Stockton Pfau's specialty and taxonomy code?

The Lacey Stockton Pfau's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.

On what date was the 1588835094 assigned to Lacey Stockton Pfau?

The Lacey Stockton Pfau was issued its 1588835094 on 2008-03-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Lacey Stockton Pfau, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Lacey Stockton Pfau, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-11-12.

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