STACEY BASQUIN

STATESBORO, GA
NPI1760549919
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  4104GA)
Enumeration Date2007-01-03
Last Update Date2026-02-09
Business Address
STACEY BASQUIN PAC
1601 FAIR RD STE 600
STATESBORO, GA 30458-0800
Phone number: 912-681-4911
Mailing Address
STACEY BASQUIN PAC
PO BOX 689022
FRANKLIN, TN 37068-9022
Phone number: 615-465-7211
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