Individual provider · Type 1 NPI

Mary Benson Stacy

Community Health Registered Nurse · Augusta, GA

NPI number 1578616397 Active

Practice location

950 Laney Walker Blvd
Augusta, GA 30901-2960

Mailing address

1948 Bolin Rd
North Augusta, SC 29841-2215

Specialties and licenses

TaxonomyCodeLicense
Community Health Registered Nurse Primary 163WC1500XRN134680 (GA)

Community Health Registered Nurse: Definition to come...

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About NPI 1578616397

Mary Benson Stacy's National Provider Identifier is 1578616397, issued on Jan 18, 2007. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in Augusta, GA. The record was last updated on Jul 8, 2007.