IndividualActive
Courtney Stanley, PA
NPI 1205095809 · Physician Assistant · Lake City, SC
Provider details
- NPI number
- 1205095809
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 1297 (SC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
325 Mercy St
Lake City, SC 29560-2331
Phone: (843) 374-6256
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1479
Lake City, SC 29560-1479
Registry dates
- Enumerated
- 2008-06-09
- Last updated
- 2008-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.