Stacey Michelle Humphreys
M.D | Pediatric Critical Care Medicine | Female
Stacey Michelle Humphreys, M.D is a Columbia, South Carolina based Pediatric doctor with medical specialization in
Pediatric Critical Care Medicine.
Current practice location of Stacey Michelle Humphreys is
9 Richland Medical Park Dr, Ste 530, Columbia, South Carolina - 29203. She can be contacted on phone at
803-434-4603.
Stacey Michelle Humphreys is a sole proprietor of her business.
NPI number (Unique professional ID) for Stacey Michelle Humphreys is
1861698128 which was assigned by NPPES on 25 Jun, 2007 and it was last updated on 20 May, 2019.
Stacey Michelle Humphreys license number is
37377 for Pediatrics Pediatric Critical Care Medicine (2080P0203X) in South Carolina.
Stacey Michelle Humphreys is expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Complete Profile:
Stacey Michelle Humphreys basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Critical Care Medicine |
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| Provider Name : | Stacey Michelle Humphreys |
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| Credential : | M.D |
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| Gender : | Female |
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Business Address:
Stacey Michelle Humphreys address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 9 Richland Medical Park Dr, Ste 530
Columbia, SC, 29203
United States |
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| Phone Number : | 803-434-4603 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1861698128 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 25 Jun, 2007 |
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| Last Updated On : | 20 May, 2019 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stacey Michelle Humphreys are as mentioned. Primary taxonomy code for Stacey Michelle Humphreys, M.D is
2080P0203X (Pediatrics Pediatric Critical Care Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 23402 | WV |
| 208000000X | Pediatrics | No | 37377 | SC |
| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | Yes | 37377 | SC |
Legacy Identifiers:
Other legacy medical identifiers of Stacey Michelle Humphreys such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 373777 | MEDICAID | SC | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 743904
Atlanta, GA, 30374-3904
United States |
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| Phone Number : | 803-296-7320 |
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| Fax Number : | 803-296-7330 |
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Business Location:
Patients can refer following map for directions to
Stacey Michelle Humphreys practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.