Courtney Gibbs Stanley, PA

NPI #1205095809 in Lake City, South Carolina

Provider Information

NPI Number: 1205095809
Entity Type: Individual
Name: Courtney Gibbs Stanley, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jun 9, 2008
Last Updated: Jun 9, 2008

Practice Location

Address: 325 MERCY ST
City: Lake City
State: South Carolina
ZIP Code: 29560-2331
Phone: (843) 374-6256

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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