Randle, Stacy

Randle, Stacy is an sole proprietor health care provider with primary practice located at 20 Oak Wood Ln , Covington GA 30016-4240. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Lactation Consultant, Non-RN, Nursing Service Related Providers / Doula. Nursing Service Related Providers / Doula is her primary health care specialty. Randle, Stacy can be contacted via phone (470) 478-8059.

Contact Information

Primary practice address
20 Oak Wood Ln Covington GA 30016-4240
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Lactation Consultant, Non-RN 174N00000X Illinois
Nursing Service Related Providers / Doula 374J00000X SC104 Illinois

Profile Details

NPI number 1972356103
LBN Legal business name Randle, Stacy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 8th, 2024
Last updated Apr 8th, 2024 - about 8 months 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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