STACIE GULLATT
NPI 1942852884
Mastectomy Fitter in Decatur, GA
About Stacie Gullatt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACIE GULLATT (NPI 1942852884) is an individual mastectomy fitter provider in Decatur, Georgia and active in the NPI registry since July 2019.
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 Stacie Gullatt's NPI number?
The NPI number for Stacie Gullatt is 1942852884. It was assigned to this individual provider in the NPPES registry on July 11, 2019.
Where is Stacie Gullatt located?
Stacie Gullatt practices at 2948 Laguna Dr, Decatur, GA 30032. The listed phone number is (404) 513-6170.
What is Stacie Gullatt's specialty?
The primary specialty registered for this NPI is Mastectomy Fitter with taxonomy code 224900000X.
When was this NPI record last updated?
The NPPES record for Stacie Gullatt was last updated on July 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Stacie Gullatt · NPI 1942852884
Mastectomy Fitter provider in Decatur, Georgia. Individual provider, active in the CMS NPPES registry since July 11, 2019.
## Identity
- **NPI:** 1942852884 (Entity type: Individual)
- **Enumerated:** July 11, 2019
- **Primary specialty:** Mastectomy Fitter · taxonomy 224900000X
- **Sole proprietor:** No
## Practice location
- **Address:** 2948 LAGUNA DR, Decatur, GA 30032-3526
- **Phone:** (404) 513-6170
## Record status
- **NPPES last updated:** July 11, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1942852884) · Data from the CMS NPPES public registry.