Walters, Stacey Diane
Walters, Stacey Diane is an individual health care provider with primary practice located at 1500 N Patterson St Dept. Kpe, Valdosta GA 31698-0100. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Walters, Stacey Diane can be contacted via phone (229) 293-6071.Contact Information
Primary practice address
1500 N Patterson St Dept. Kpe
Valdosta GA 31698-0100
Phone: (229) 293-6071
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | AT001138 | Georgia |
Profile Details
| NPI number | 1275506610 |
|---|---|
| LBN Legal business name | Walters, Stacey Diane |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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