Individual provider · Type 1 NPI

Andrew John Stag

Medical Physician Assistant · Beaufort, SC

NPI number 1639868680 Active

Practice location

1 Pinckney Blvd
Beaufort, SC 29902-6122

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5201 (SC)

Medical Physician Assistant: Definition to come...

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About NPI 1639868680

Andrew John Stag's National Provider Identifier is 1639868680, issued on May 4, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Beaufort, SC. The record was last updated on Nov 15, 2024.