Healthcare Provider Details

I. General information

NPI: 1861837072
Provider Name (Legal Business Name): STACIE HAMLEY OBERSTEIN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: STACIE NICOLE HAMLEY MD

II. Dates (important events)

Enumeration Date: 05/01/2013
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3747 ROSWELL RD STE 201
MARIETTA GA
30062-6227
US

IV. Provider business mailing address

3747 ROSWELL RD STE 201
MARIETTA GA
30062-6227
US

V. Phone/Fax

Practice location:
  • Phone: 770-578-2868
  • Fax: 770-971-8499
Mailing address:
  • Phone: 770-578-2868
  • Fax: 770-971-8499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number77687
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number04-39304
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0101260604
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: