Gaillard, Stacy

Gaillard, Stacy is an sole proprietor health care provider with primary practice located at 109 W Main St , Moncks Corner SC 29461-2673. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Community Health, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Gaillard, Stacy can be contacted via phone (843) 719-4600.

Contact Information

Primary practice address
109 W Main St Moncks Corner SC 29461-2673
Phone: (843) 719-4600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 20150 South Carolina
Nursing Service Providers / Community Health 163WC1500X 20150 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 20150 South Carolina

Profile Details

NPI number 1285171694
LBN Legal business name Gaillard, Stacy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2017
Last updated Jun 28th, 2023 - about 2 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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