Stacey Basquin, PAC

NPI #1760549919 in Statesboro, Georgia

Provider Information

NPI Number
1760549919
Entity Type
Individual
Name
Stacey Basquin, PAC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PAC
Enumeration Date
Jan 3, 2007
Last Updated
Sep 17, 2020

Practice Location

Address
1601 FAIR ROAD
Address 2
SUITE 600 COTTON RIDGE MEDICAL PLAZA
State
Georgia
ZIP Code
30458
Phone
(912) 681-4911

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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