Individual provider · Type 1 NPI
Stacy D. Roberts, B.S., DC
Chiropractor · Fayetteville, GA
NPI number
1720056476
Active
Practice location
165 Rebel Rise
Fayetteville, GA 30215-5095
Fax (678) 669-1867
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | CHIR007730 (GA) |
| Chiropractor Primary | 111N00000X | CHIR007730 (GA) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1720056476
Stacy D. Roberts, B.S., DC's National Provider Identifier is 1720056476, issued on Mar 9, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Fayetteville, GA. The record was last updated on Oct 5, 2021.