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

Stacey Lee Clemmons

Individual provider Contractor · NPI 1942892070

Stacey Lee Clemmons is a Contractor in Douglas, Georgia. Registered with an NPI since 2021.

In the registry since
2021
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Practice location Address checks out

412 Phillips St W
Douglas, GA 31533-2537
Phone: (912) 292-5088
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X

Record details

NPI number1942892070
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 10, 2021
Last updated in NPPESFebruary 10, 2021
Certification dateFebruary 10, 2021
Mailing address412 Phillips St W, Douglas, GA 31533-2537

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