Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stacie Gullatt

Individual provider Mastectomy Fitter · NPI 1942852884

Stacie Gullatt is a Mastectomy Fitter in Decatur, Georgia. Registered with an NPI since 2019.

In the registry since
2019
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Practice location Address checks out

2948 Laguna Dr
Decatur, GA 30032-3526
Phone: (404) 513-6170
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mastectomy Fitter (primary) Taxonomy 224900000X

Record details

NPI number1942852884
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 11, 2019
Last updated in NPPESJuly 11, 2019