IndividualActive
Staci Mackay-Mercer, CO
NPI 1356155444 · Orthotist · Woodstock, GA
Provider details
- NPI number
- 1356155444
- Entity type
- Individual
- Primary specialty
- OrthotistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CO
- Sex
- Female
- Sole proprietor
- Yes
- License
- C062 (GA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
129 Mirramont Lake Dr
Woodstock, GA 30189-8215
Phone: (770) 401-1408
Approximate (ZIP-level) locationGet directions
Mailing address
129 Mirramont Lake Dr
Woodstock, GA 30189-8215
Registry dates
- Enumerated
- 2025-02-06
- Last updated
- 2025-03-27
- Certified
- 2025-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.