DR. JASON JOHN STACY M.D. NPI 1831164334

NPI Information

DR. Jason John Stacy, M.D. is a family medicine in Columbia, SC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Jason John Stacy, M.D. NPI is 1831164334. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3209 COLONIAL DR
COLUMBIA, SC
ZIP 29203-930
Phone: (803) 434-6113
Fax: (803) 434-7231

The enumeration date for this NPI number is 2/20/2006 and was last updated on 4/2/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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