| NPI | 1700673217 |
|---|---|
| Doing Business As | PATRICK STUCKEY, DDS |
| Entity Type | Organization |
| Authorized Contact | CASEY CASTLE Director Of Payor Contracts 912-732-1504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-04-21 |
| Last Update Date | 2025-05-13 |