Provider Demographics
NPI:1295627958
Name:STILLS, PAULA SUZETTE
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:SUZETTE
Last Name:STILLS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 SPOTTED FAWN RD S
Mailing Address - Street 2:
Mailing Address - City:STATESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30461-0749
Mailing Address - Country:US
Mailing Address - Phone:912-531-5060
Mailing Address - Fax:
Practice Address - Street 1:108 SPOTTED FAWN RD S
Practice Address - Street 2:
Practice Address - City:STATESBORO
Practice Address - State:GA
Practice Address - Zip Code:30461-0749
Practice Address - Country:US
Practice Address - Phone:912-531-5060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency