Most Relevant Information
Provider Data
| NPI Number: | 1003513144 |
| Provider Name: | STACY EAGLE NP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | RN250341 |
Most Important Dates
| Enumeration Date: | 02/09/2023 |
| Last Updated: | 03/08/2024 |
Provider Practice Location
6602 WATERS AVE
SAVANNAH
GA
314062758
Practice Location Phone/Fax
| Phone: | 9123547676 |
| Fax: |
Provider Mailing Location
6602 WATERS AVE
SAVANNAH
GA
314062758
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |