STACEY BLOCKER
NPI 1164112314
Private Vehicle in Ellenwood, GA
About Stacey Blocker NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACEY BLOCKER (NPI 1164112314) is an individual private vehicle provider in Ellenwood, Georgia and active in the NPI registry since May 2023.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Stacey Blocker's NPI number?
The NPI number for Stacey Blocker is 1164112314. It was assigned to this individual provider in the NPPES registry on May 10, 2023.
Where is Stacey Blocker located?
Stacey Blocker practices at 2343 River Rd, Ellenwood, GA 30294. The listed phone number is (904) 554-0248.
What is Stacey Blocker's specialty?
The primary specialty registered for this NPI is Private Vehicle with taxonomy code 347C00000X.
When was this NPI record last updated?
The NPPES record for Stacey Blocker was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Stacey Blocker · NPI 1164112314
Private Vehicle provider in Ellenwood, Georgia. Individual provider, active in the CMS NPPES registry since May 10, 2023.
## Identity
- **NPI:** 1164112314 (Entity type: Individual)
- **Enumerated:** May 10, 2023
- **Primary specialty:** Private Vehicle · taxonomy 347C00000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2343 RIVER RD, Ellenwood, GA 30294-1127
- **Phone:** (904) 554-0248
## Record status
- **NPPES last updated:** November 27, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1164112314) · Data from the CMS NPPES public registry.