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Dr. Jason John Stacy, MD
Sports Medicine (Family Medicine) Physician in Columbia, South Carolina
NPI 1831164334

Jason John Stacy is a Sports Medicine (Family Medicine) Physician based in Columbia, SC and is specialized in Sports Medicine. Jason John Stacy practices in Columbia, SC and has the professional credentials of MD. The NPI Number for Jason John Stacy is 1831164334 and holds a License No. 24051 (South Carolina).

The current practice location address for Jason John Stacy is 3209 Colonial Dr, Columbia, SC and can be reached out via phone at 803-434-6113 and via fax at 803-434-7231. You can also correspond with Jason John Stacy through the mailing address at 3209 COLONIAL DR, COLUMBIA, SC - 29203-6930 (mailing address contact number: 803-434-6116).

Location: 3209 Colonial Dr, Columbia, SC, 29203-6930
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831164334
Provider Name
Jason John Stacy
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3209 Colonial Dr, Columbia, SC, 29203-6930
Phone Number
803-434-6113
Fax Number
803-434-7231
Provider Enumeration Date
02/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0534520001 01 SC MEDICARE DME
240518 05 SC
institution
Provider Business Practice Location Address Details
Address
3209 Colonial Dr
City
Columbia
State
South Carolina
Zip
29203-6930
Phone Number
803-434-6113
Fax Number
803-434-7231
person
Provider Business Mailing Address Details
Address
3209 Colonial Dr
City
Columbia
State
South Carolina
Zip
29203-6930
Phone Number
803-434-6116
Fax Number
803-434-7529
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
24051 (South Carolina)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Sports Medicine
Taxonomy
207QS0010X
License No.
24051 (South Carolina)
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
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