Clemmons, Stacey Lee
Clemmons, Stacey Lee is an individual health care provider with primary practice located at 412 Phillips St W , Douglas GA 31533-2537. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Clemmons, Stacey Lee can be contacted via phone (912) 292-5088.Contact Information
Primary practice address
412 Phillips St W
Douglas GA 31533-2537
Phone: (912) 292-5088
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X |
Profile Details
| NPI number | 1942892070 |
|---|---|
| LBN Legal business name | Clemmons, Stacey Lee |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 10th, 2021 |
| Last updated | Feb 10th, 2021 - about 4 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.
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