Provider Demographics
NPI:1275726861
Name:SCHUESSLER, STACEY ROWE (RPH)
Entity Type:Individual
Prefix:MS
First Name:STACEY
Middle Name:ROWE
Last Name:SCHUESSLER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:150 MARTIN LUTHER KING JR BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:GA
Mailing Address - Zip Code:30655-5620
Mailing Address - Country:US
Mailing Address - Phone:770-267-2555
Mailing Address - Fax:770-267-4048
Practice Address - Street 1:150 MARTIN LUTHER KING JR BLVD
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:GA
Practice Address - Zip Code:30655-5620
Practice Address - Country:US
Practice Address - Phone:770-267-2559
Practice Address - Fax:770-267-2559
Is Sole Proprietor?:No
Enumeration Date:2007-08-27
Last Update Date:2019-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH015538163WD0400X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator