Individual provider · Type 1 NPI

Stacey Michelle Humphreys, MD

Pediatric Critical Care Medicine Physician · Columbia, SC

NPI number 1861698128 Active

Practice location

9 Richland Medical Park Dr, Ste 530
Columbia, SC 29203

Mailing address

PO Box 743904
Atlanta, GA 30374-3904

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000X37377 (SC)
Pediatrics Physician 208000000X23402 (WV)
Pediatric Critical Care Medicine Physician Primary 2080P0203X37377 (SC)

Pediatric Critical Care Medicine Physician: A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates…

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About NPI 1861698128

Stacey Michelle Humphreys, MD's National Provider Identifier is 1861698128, issued on Jun 25, 2007. The primary taxonomy on file is Pediatric Critical Care Medicine Physician (2080P0203X), and the practice location is in Columbia, SC. The record was last updated on May 20, 2019.