Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. STACEY HARRIS
Active Sole ProprietorHome Health · CARROLLTON, GA
Registration Details
- NPI Number
- 1679897854
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 17, 2010 (16.127442960562 yrs)
- Last Updated
- Jun 22, 2011
- License
-
022-01-022-1 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
55 HICKORY CIRCARROLLTON, GA, 301168692Browse GA providers · Browse ZIP 30116
- Phone
- 6786013504
- Primary Specialty
-
Home Health
251E00000X
Other Home Health Providers in CARROLLTON, GA
| Name | Credential | NPI |
|---|---|---|
| CHATHIKA MOSS | — | 1275336281 |
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.