STACEY BASQUIN

STATESBORO, GA
NPI1760549919
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  4104GA)
Enumeration Date2007-01-03
Last Update Date2020-09-17
Business Address
STACEY BASQUIN PAC
1601 FAIR ROAD SUITE 600 COTTON RIDGE MEDICAL PLAZA
STATESBORO, GA 30458
Phone number: 912-681-4911
Mailing Address
STACEY BASQUIN PAC
PO BOX 1640
STATESBORO, GA 30459-1640
Phone number: 912-681-4911
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