Willis, Stacy L

Willis, Stacy L is an sole proprietor health care provider with primary practice located at 1007 Caddenwoods Dr , Augusta GA 30906-5618. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Willis, Stacy L can be contacted via phone (706) 751-4089.

Contact Information

Primary practice address
1007 Caddenwoods Dr Augusta GA 30906-5618
Phone: (706) 751-4089
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X LCB201400000776 Georgia

Profile Details

NPI number 1982018370
LBN Legal business name Willis, Stacy L
Credentials BS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2014
Last updated Jun 13th, 2014 - about 10 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.

Request for update

Popular Providers