Individual provider · Type 1 NPI
Stacey Marie Brown, PAC
Medical Physician Assistant · Wetumpka, AL
NPI number
1912087214
Active
Practice location
73888 Tallassee Hwy
Wetumpka, AL 36092-7308
Fax (334) 567-5393
Mailing address
PO Box 1290
Wetumpka, AL 36092-0022
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA252 (AL) |
Medical Physician Assistant: Definition to come...
About NPI 1912087214
Stacey Marie Brown, PAC's National Provider Identifier is 1912087214, issued on Oct 17, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Wetumpka, AL. The record was last updated on Jul 8, 2007.