Hailey Dominy Stack, PA-C
Physician Assistant in Savannah, GA. Individual provider (NPI-1).
NPI number1033736764
StatusActive
Last updated in NPPESJan 31, 2025
Details
- NPI
- 1033736764
- Entity type
- Individual (NPI-1)
- Name
- Hailey Dominy Stack
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 29, 2020
- Certification date
- Jan 31, 2025
- Last updated
- Jan 31, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 12635 | GA | Yes |
Practice location
6413 Waters Ave Ste 102Savannah, GA 31406-2711
Phone 912-349-6624 · Fax 912-352-4728
Mailing address
6413 Waters Ave Ste 102Savannah, GA 31406-2711
Phone 912-349-6624 · Fax 912-352-4728
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All 252 Physician Assistant providers in Savannah · All 7,528 providers in Savannah
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