person
Stacey Blocker
Private Vehicle in Ellenwood, Georgia
NPI 1164112314

Stacey Blocker is a Private Vehicle based in Ellenwood, GA. Stacey Blocker practices in Ellenwood, GA. The NPI Number for Stacey Blocker is 1164112314 and holds a License No. (Georgia).

The current practice location address for Stacey Blocker is 2343 River Rd, Ellenwood, GA and can be reached out via phone at 904-554-0248.

Location: 2343 River Rd, Ellenwood, GA, 30294-1127
person
Provider Profile Details
NPI Number
1164112314
Provider Name
Stacey Blocker
Credential
Provider Entity Type
Individual
Gender
Female
Address
2343 River Rd, Ellenwood, GA, 30294-1127
Phone Number
904-554-0248
Fax Number
Provider Enumeration Date
05/10/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2343 River Rd
City
State
Zip
30294-1127
Phone Number
904-554-0248
Fax Number
person
Provider Business Mailing Address Details
Address
2343 River Rd
City
State
Zip
30294-1127
Phone Number
904-554-0248
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
License No.
()
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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