Stacey Blocker
Stacey Blocker is a Private Vehicle in Ellenwood, Georgia. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
2343 River RdEllenwood, GA 30294-1127
Phone: (904) 554-0248
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Private Vehicle (primary) | Taxonomy 347C00000X |
|---|
Record details
| NPI number | 1164112314 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 10, 2023 |
| Last updated in NPPES | November 27, 2023 |
| Certification date | November 27, 2023 |
| Mailing address | 2343 River Rd, Ellenwood, GA 30294-1127 |