Stephanie Nicole Bayer
Individual provider Active NPI Pharmacist · Braselton, GA
NPI 1972099265 · NPPES record last updated Jul 10, 2018
Key facts
- NPI
- 1972099265
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH030649 (GA)
- Practice address
- 2095 Highway 211 NW
Braselton, GA 30517-3402 - Phone
- (954) 401-0708
- NPI assigned
- Jul 10, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH030649 | GA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH030649 | GA | Yes |
Addresses
Primary practice location
2095 Highway 211 NW
Braselton, GA 30517-3402
Mailing address
232 Epps Bridge Rd Unit 13L
Athens, GA 30606-8386
Other providers in Braselton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.