Andrea Stack, AU.D

NPI 1154331676 · on the registry since 2006

Practice

Address: 1101 Hospital Dr
Suite 100a
Stockbridge, GA 30281
Phone: (770) 474-7416
Organisation at this address: Southern Crescent Ent, P.C.
Arthritis Research & Treatment Center
Eagles Landing Pediatric Associates Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 11

Registry record

Primary taxonomy: 231H00000X
231H00000X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2012-10-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia