| Doctor Name: | MISS COURTNEY RENEE STANLEY |
| NPI Number: | 1003858986 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 004362 |
| Business Practice Address: | 601 S 8th St Griffin, GA - 302244213 |
| Business Phone Number: | 8004243672 |
| Business Fax Number: | 9543773042 |
| Mailing Address: | 14050 Nw 14th St, Suite 190 SUNRISE |
| State: | FL |
| Postal Code: | 333232865 |
| Phone Number: | 8004243672 |
| Fax Number: | 9543773042 |
| NPI Enumeration Date: | 06/12/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 004362 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |