Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrew John Stag

Individual provider Medical Physician Assistant · NPI 1639868680

Andrew John Stag is a Medical Physician Assistant in Beaufort, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2023

Practice location Address checks out

1 Pinckney Blvd
Beaufort, SC 29902-6122
Phone: (843) 228-5600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5201 (SC)

Record details

NPI number1639868680
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 4, 2023
Last updated in NPPESNovember 15, 2024
Certification dateNovember 15, 2024

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