Garmon, Stacy Blye

Garmon, Stacy Blye is an sole proprietor health care provider with primary practice located at 800 N A St , Easley SC 29640-2144. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Garmon, Stacy Blye can be contacted via phone (864) 855-0001.

Contact Information

Primary practice address
800 N A St Easley SC 29640-2144
Fax: (864) 855-5030
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 160630 South Carolina

Profile Details

NPI number 1477544625
LBN Legal business name Garmon, Stacy Blye
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 4th, 2005
Last updated May 12th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1477544625 NPPES
South Carolina MEDICAID 160630

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