Stacy M Fairey, RDN is a
Dietitian, Registered - Nutrition, Sports Dietetics based in Johns Island, South Carolina. Stacy M Fairey is licensed to practice in * (Not Available) (license number ) and her current practice location is
1805 Clark Hills Cir, Johns Island, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(843) 860-0683.
NPI number for Stacy M Fairey is 1033739214 and her current mailing address is 1805 Clark Hills Cir, Johns Island, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033739214.
Healthcare Provider's Profile
Full Name | Stacy M Fairey |
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Gender | Female |
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Speciality | Dietitian, Registered - Nutrition, Sports Dietetics |
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Location | 1805 Clark Hills Cir, Johns Island, South Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1033739214
- Provider Enumeration Date: 04/17/2020
- Last Update Date: 04/17/2020
Medical Identifiers
Medical identifiers for Stacy M Fairey such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033739214 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133VN1501X | Dietitian, Registered - Nutrition, Sports Dietetics | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stacy M Fairey is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Stacy M Fairey, RDN 1805 Clark Hills Cir, Johns Island, SC 29455-7603 Ph: (843) 860-0683 | Stacy M Fairey, RDN 1805 Clark Hills Cir, Johns Island, SC 29455-7603 Ph: (843) 860-0683 |
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