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STACIE GULLATT NPI 1942852884


NPI Information

NPI: 1942852884
Provider Name: STACIE GULLATT
Classification: Mastectomy Fitter - 224900000X
Entity Type: Individual
Address:
2948 LAGUNA DR
DECATUR, GA
ZIP 30032
Phone: (404) 513-6170
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Stacie Gullatt is a mastectomy fitter in Decatur, GA. The provider is an individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services. Stacie Gullatt NPI is 1942852884. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2948 LAGUNA DR
DECATUR, GA
ZIP 30032-526
Phone: (404) 513-6170

The enumeration date for this NPI number is 7/11/2019 and was last updated on 7/11/2019.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1224900000XMastectomy FitterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.