Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACEY BLOCKER
Active Sole ProprietorSTACEY BLOCKER is a Private Vehicle healthcare provider located in ELLENWOOD, Georgia. NPI 1164112314 is currently active in the NPPES registry. Verify at CMS.
Private Vehicle · ELLENWOOD, GA
Registration Details
- NPI Number
- 1164112314
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 10, 2023 (3.2756756374203 yrs)
- Last Updated
- Nov 27, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
2343 RIVER RDELLENWOOD, GA, 302941127Browse GA providers · Browse ZIP 30294
- Phone
- 9045540248
- Primary Specialty
-
Private Vehicle
347C00000X
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.