Stacy D. Roberts, B.S., D.C.

Chiropractor · Fayetteville, GA

Individual Active NPI

NPI number 1720056476

Practice location

165 Rebel Rise
Fayetteville, GA 30215-5095
Phone
(470) 400-9431
Fax
(678) 669-1867

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NPI record

NPI
1720056476
Entity type
Individual (Type 1)
Enumeration date
March 9, 2006
Last updated
October 5, 2021
Certified
September 21, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X CHIR007730 GA
Rehabilitation Chiropractor 111NR0400X CHIR007730 GA

About Stacy Roberts

Stacy D. Roberts, B.S., D.C. is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 165 Rebel Rise, Fayetteville, GA 30215-5095. The NPI number 1720056476 was assigned on March 9, 2006 and the record was last updated on October 5, 2021.

Stacy Roberts lists 2 licenses in the registry: #CHIR007730 (GA) for Chiropractor; #CHIR007730 (GA) for Rehabilitation Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Stacy D. Roberts, B.S., D.C.?

The NPI number is 1720056476.

What is the phone number of Stacy Roberts?

The phone number listed for the practice location is (470) 400-9431.

Where is Stacy Roberts located?

165 Rebel Rise, Fayetteville, GA 30215-5095.

What is the taxonomy code for Stacy Roberts?

The primary taxonomy code is 111N00000X – Chiropractor; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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