Individual provider · Type 1 NPI

Hailey Dominy Stack, PA-C

Physician Assistant · Savannah, GA

NPI number 1033736764 Active

Practice location

6413 Waters Ave Ste 102
Savannah, GA 31406-2711

Fax (912) 352-4728

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X12635 (GA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1033736764

Hailey Dominy Stack, PA-C's National Provider Identifier is 1033736764, issued on Jun 29, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Savannah, GA. The record was last updated on Jan 31, 2025.