Mickey Dwight Stapp
Foot & Ankle Surgery
1416 Wainbrook Dr
Augusta
, Georgia 30909-6289
Mickey Dwight Stapp
Foot & Ankle Surgery
1416 Wainbrook Dr
Augusta
, Georgia 30909-6289
(706) 312-3670
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About
Features
Specialties
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Mickey Dwight Stapp
- 1416 Wainbrook Dr
- Augusta, GA
- Zip : 30909-6289
- Fax : (706) 312-3670
- Phone : (706) 312-3668
Second Address
- Mickey Dwight Stapp
- 1416 Wainbrook Dr
- Augusta, GA
- Zip : 30909-6289
- Fax : (706) 312-3670
- Phone : (706) 312-3668
Reviews
FAQs
Where did Mickey Dwight Stapp attend graduate school?
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Where did Mickey Dwight Stapp do his fellowship?
Is Mickey Dwight Stapp board certified?
What type of doctor is Mickey Dwight Stapp
In what state does Mickey Dwight Stapp practice in?
Where is Mickey Dwight Stapp ’s practice located?
What is Mickey Dwight Stapp ’s gender?
Is Mickey Dwight Stapp a sole practitioner?
Is Mickey Dwight Stapp accepting new patients?
What languages does Mickey Dwight Stapp speak?
Does Mickey Dwight Stapp accept insurance?
Does Mickey Dwight Stapp offers telemedicine?
What is Mickey Dwight Stapp ’s professional license number?
What is Mickey Dwight Stapp ’s NPI number?
Does Mickey Dwight Stapp have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0103X | Foot & Ankle Surgery | POD000728 | GA |
National Provider Identifier
| NPI | 1023114238 |
|---|---|
| Provider Name | Mickey Dwight Stapp |
| First Address | Augusta, GA 30909-6289 |
| Second Address | Augusta, GA 30909-6289 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/09/2006 |
| Last Update Date | 03/07/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000660635H | (05) | GA |
| 000660635J | (05) | GA |
| 2700036 | UNITED HEALTHCARE (01) | GA |
| 480032189 | RAILROAD MEDICARE (01) | GA |
| 5106049 | AETNA PPO (01) | GA |
| 555655 | BCBS OF GEORGIA (01) | GA |
| 575733 | AETNA HMO (01) | GA |
| GDP728 | SOUTH CAROLINA MEDICAID (01) | SC |
| U55945 | (02) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.