| Doctor Name: | DR. MELODY ANN STANCIL |
| NPI Number: | 1114229515 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 014958 |
| Business Practice Address: | 1280 Athens St Gainesville, GA - 305077000 |
| Business Phone Number: | 7705355743 |
| Business Fax Number: | |
| Mailing Address: | 1280 Athens St, GAINESVILLE |
| State: | GA |
| Postal Code: | 305077000 |
| Phone Number: | 7705355743 |
| Fax Number: | |
| NPI Enumeration Date: | 11/17/2010 |
| NPI Last Update Date: | 11/17/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | 014958 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |