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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. STACEY WILLINGHAM, M.D.

Active Sole Proprietor

DR. STACEY WILLINGHAM, M.D. is a Physical Medicine & Rehabilitation healthcare provider located in KENNESAW, Georgia. NPI 1144485293 is currently active in the NPPES registry. Verify at CMS.

Physical Medicine & Rehabilitation · KENNESAW, GA

Registration Details

NPI Number
1144485293
Provider Type
Individual
Gender
Female
NPI Issued
Jul 28, 2008 (18.091790492725 yrs)
Last Updated
Mar 28, 2012
License
041426 (GA)
Sole Proprietor
Yes

Practice Information

Address
2774 N. COBB PKWY.
SUITE 109, #133
KENNESAW, GA, 301523334
Browse GA providers · Browse ZIP 30152
Phone
4049641474
Primary Specialty
Physical Medicine & Rehabilitation
208100000X

Other Physical Medicine & Rehabilitation Providers in KENNESAW, GA

Name Credential NPI
MICHELE T. PEREZ M.D. 1194712158
JOHN PALMER LANIER M.D. 1215976394
DR. SONNY SANDEEP SINGH DOSANJH MD 1952596850
DR. JAMILA AYANA KENDALL MD 1124523246
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.