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Contact Information

JAMES R STACKHOUSE, MD
6 S 14TH ST
FERNANDINA BEACH, FL32034
 Phone: 904-261-5741
 Fax: 904-261-7383
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for JAMES R STACKHOUSE · (Male)

NPI # 1750517710
Status Active
Credentials MD
Entity Individual
Enumeration date 06/04/2009
Last updated 09/29/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME117902
  • GA License # 770778
  • FL Medicaid 100661200
Hospital affiliation(s)
  • BAPTIST MEDICAL CENTER - NASSAU - (Acute Care)
    1250 S 18TH ST
    FERNANDINA BEACH, FL 32034
  • ED FRASER MEMORIAL HOSPITAL - (Acute Care)
    159 N 3RD ST
    MACCLENNY, FL 32063
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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