Stacey Waddington, PA-C
NPI #1154578615 in Shelbyville, Illinois
Provider Information
- NPI Number
- 1154578615
- Entity Type
- Individual
- Name
- Stacey Waddington, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Aug 26, 2008
- Last Updated
- Feb 2, 2022
Practice Location
- Address
- 200 S CEDAR ST
- City
- Shelbyville
- State
- Illinois
- ZIP Code
- 62565-1838
- Phone
- (217) 774-4400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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