Search › Georgia › 363LF0000X
Shantorius Stacks, FNP
NPI 1790489961 · on the registry since 2023
Practice
- Address
- 2219 Benidorm Ct
Atlanta, GA 30349 - Phone
- (770) 572-7109
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-10-29
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