Individual provider · Type 1 NPI

Courtney Renee Stanley, PA-C

Medical Physician Assistant · Griffin, GA

NPI number 1003858986 Active

Practice location

601 S 8th St
Griffin, GA 30224-4213

Fax (954) 377-3042

Mailing address

14050 NW 14th St, Suite 190
Sunrise, FL 33323-2865

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X004362 (GA)

Medical Physician Assistant: Definition to come...

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About NPI 1003858986

Courtney Renee Stanley, PA-C's National Provider Identifier is 1003858986, issued on Jun 12, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Griffin, GA. The record was last updated on Jul 13, 2026.