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Stacey Yates
NPI 1386502938 · on the registry since 2026 · sole proprietor
Practice
- Address
- 3272 Lark Haven Dr Nw
Kennesaw, GA 30152 - Phone
- (615) 473-9963
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 1041S0200X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-01-13
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