Dr STACEY C BASQUIN is a female medical professional, specializing in Physician Assistant. She graduated in 2003.
EAST GEORGIA HMA PHYSICIAN MANAGEMENT LLC
1601 FAIR RD
SUITE 600
STATESBORO
GA
304580800
Tel: 9126814911
| Npi | 1760549919 |
| Pac Id | 0345341251 |
| Professional Enrollment Id | I20070723000352 |
| Last Name | BASQUIN |
| First Name | STACEY |
| Middle Name | C |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2003 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | EAST GEORGIA HMA PHYSICIAN MANAGEMENT LLC |
| Group Practice Pac Id | 7214068592 |
| Number Of Group Practice Members | 21 |
| Line 1 Street Address | 1601 FAIR RD |
| Line 2 Street Address | SUITE 600 |
| Marker Of Address Line 2 Suppression | |
| City | STATESBORO |
| State | GA |
| Zip Code | 304580800 |
| Phone Number | 9126814911 |
| Hospital Affiliation Ccn 1 | 111334 |
| Hospital Affiliation Lbn 1 | CANDLER COUNTY HOSPITAL |
| Hospital Affiliation Ccn 2 | 110075 |
| Hospital Affiliation Lbn 2 | EAST GEORGIA REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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