Georgia
Composite Medical Board
BASQUIN, STACEY CHAPPELL
Medical - Physician Assistant
License number
004104
Date granted
08/08/2003
Date expires
02/28/2018
Class
Medical - Physician Assistant
Status
Active
Address
620 COLFAX STATION DRIVE
georgiadoctors.net
ID 38096482
LAST UPDATED 2026-05-07 20:52:38 UTC
LAST UPDATED 2026-05-07 20:52:38 UTC
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