Stacey Willingham M.D.

NPI 1144485293 - Physical Medicine & Rehabilitation - 208100000X

NPI Details
NPI 1144485293
Gender Female
Enumeration Date 07/28/2008
Last Updated 03/28/2012
Entity Type Individual
Active Over 8 years ago
Practice Location
2774 N. COBB PKWY.
SUITE 109, #133
KENNESAW GA, 30152-3334, US
Phone (404) 964-1474
Fax
Business Location
2774 N COBB PKWY
SUITE 109, #133
KENNESAW GA, 30152-3469, US
Phone
Fax
Toxanomy
Taxonomy Code 208100000X
License State Georgia
License Number 041426
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According to our database, Dr. Stacey Willingham M.D. NPI is 1144485293, taxonomy code is 208100000X and license number is 041426, license state is located at Georgia. Stacey Willingham M.D. physically located at 2774 N. Cobb Pkwy., Kennesaw GA, 30152-3334. NPI Number Stacey Willingham M.D. has the Individual type.

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1144485293 NPI number is provided on an as is basis without warranty of any kind. 1144485293 is maintained by the National Plan & Provider Enumeration System. The contents of Stacey Willingham M.D. are for informational purposes only.