NPI 1356155444

Staci Mackay-Mercer, CO

Practitioner Orthotist Woodstock, GA

Practice location

Address: 129 Mirramont Lake Dr, Woodstock, GA 30189-8215
Phone: (770) 401-1408

Registered specialties

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence C062 (GA)

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Registry record

NPI: 1356155444
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Feb 2025
Record last updated: 27 Mar 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.