STACEY DARRISAW

COLUMBUS, GA
NPI1104448281
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251B00000X Case Management
(Licence: GA  RN124631)
Additional Taxonomies163WC0400X Registered Nurse Case Management
(Licence: GA  RN124631)
171M00000X Case Manager/Care Coordinator
(Licence: GA  RN124631)
Enumeration Date2020-05-12
Last Update Date2020-05-12
Business Address
STACEY DARRISAW RN, CCM
2020 7TH AVE
COLUMBUS, GA 31904-8914
Phone number: 762-822-1242
Mailing Address
STACEY DARRISAW RN, CCM
49 WESTWOOD WAY
FORTSON, GA 31808-6069
Phone number: 762-822-1242