STACEY NICOLE DESAMOURS


Address: 3121 Panthersville Rd, Decatur, GA 30034-3830
Phone: 4042708186

STACEY NICOLE DESAMOURS (NPI# 1265457501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265457501
Entity Type Individual
Full Name STACEY NICOLE DESAMOURS
Credential MD
Practice Address 3121 Panthersville Rd
Decatur
GA 30034-3830
Practice Telephone 4042708186
Mailing Telephone 4042708186
Enumeration Date 2006-07-13
Last Update Date 2019-08-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ZF0201X Pathology
Specialization: Forensic Pathology
62786 GA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
4400 V St, Sacramento, CA 958171445 9167342525

Office Location

Street Address 3121 PANTHERSVILLE RD
City DECATUR
State GA
Zip Code 30034-3830

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316367006 Jacqueline Marina Martin Pathology 3121 Panthersville Rd, Decatur, GA 30034-3830 2014-04-21
1386930832 Lora Darrisaw Pathology 3121 Panthersville Rd, Decatur, GA 30034-3830 2011-06-23
1811141831 Jonathan Eisenstat Pathology 3121 Panthersville Rd, Decatur, GA 30034-3830 2008-11-05
1194908913 Kris Lee Sperry Pathology 3121 Panthersville Rd, Medical Examiner's Office, Decatur, GA 30034-3830 2007-12-15

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Taxonomy Information

Taxonomy Code 207ZF0201X
Grouping Allopathic & Osteopathic Physicians
Classification Pathology
Specialization Forensic Pathology

Taxonomy Definition

A forensic pathologist is expert in investigating and evaluating cases of sudden, unexpected, suspicious and violent death as well as other specific classes of death defined by law. The forensic pathologist serves the public as coroner or medical examiner, or by performing medicolegal autopsies for such officials.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pathology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316367006 Jacqueline Marina Martin Pathology 3121 Panthersville Rd, Decatur, GA 30034-3830 2014-04-21
1811141831 Jonathan Eisenstat Pathology 3121 Panthersville Rd, Decatur, GA 30034-3830 2008-11-05
1194908913 Kris Lee Sperry Pathology 3121 Panthersville Rd, Medical Examiner's Office, Decatur, GA 30034-3830 2007-12-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1659880375 Christopher Gulledge Pathology 150 N Marietta Pkwy Ne, Marietta, GA 30060-1454 2017-09-26
1336665322 Edmund Roche Donoghue Jr. Pathology 925 Mohawk St, Savannah, GA 31419-1797 2017-08-21
1821416660 Gerald Thomas Gowitt Pathology 2284 Weeping Oak Dr, Braselton, GA 30517-6047 2014-03-30
1730507559 Keith Lehman Pathology 235 Rock Hill Dr, Fayetteville, GA 30215-4955 2014-03-29
1124221213 Joni Byrd Skipper Pathology 111 Isaac G Laroche Dr, Pooler, GA 31322-2171 2007-06-07
1700955184 Kelly L. Rose Pathology 1648 Pierce Dr, Suite 327, Atlanta, GA 30322-0001 2006-11-07
1639129059 Geoffrey P. Smith Pathology 430 Pryor St., Fulton County Medical Examiners Office, Atlanta, GA 30322-0001 2006-05-10
1447200852 Michael M. Heninger Pathology 530 Pryor St Sw, Fulton County Medical Examiners Office, Atlanta, GA 30312-2718 2006-05-10
1730139197 Michele T. Stauffenberg Pathology Fulton County Medical Examiners Office, 430 Pryor St., Atlanta, GA 30312 2006-05-10
1578511655 Randy L. Hanzlick Pathology 430 Pryor St Sw, Fulton County Medical Examiners Office, Atlanta, GA 30312-2716 2006-05-04
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Competitor

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City DECATUR
Zip Code 30034

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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