Blyth, Stacey
Blyth, Stacey is an individual health care provider with primary practice located at 2630 Willard Dairy Rd Ste 301 , High Point NC 27265-8354. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Blyth, Stacey can be contacted via phone (336) 884-3800.Contact Information
Primary practice address
2630 Willard Dairy Rd Ste 301
High Point NC 27265-8354
Phone: (336) 884-3800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 200401473 | North Carolina |
Profile Details
| NPI number | 1679553135 |
|---|---|
| LBN Legal business name | Blyth, Stacey |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 20th, 2006 |
| Last updated | Aug 11th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679553135 | NPPES |
| North Carolina | Other | D8827 | MEDCOST |
| North Carolina | MEDICAID | 89138H7 | MEDCOST |
| North Carolina | Other | 138H7 | MEDCOST |
| North Carolina | Other | A19578 | MEDCOST |
| North Carolina | Other | P00222461 | MEDCOST |
| North Carolina | Other | 2478977 | MEDCOST |
| North Carolina | Other | 1366706 | MEDCOST |
Popular Providers
-
Tipton, John Sison
611 N Lindsay St Suite 200, High Point NC 27262-4300 -
Moreira, Fernanda
4515 Premier Dr Ste 204 , High Point NC 27265-8356 -
O'Meara, Thomas M
2401 Hickswood Rd Ste.104, High Point NC 27265-1537 -
Fowler, Melissa Sue
1814 Westchester Dr Ste 203 , High Point NC 27262-7369 -
Smith, Karla Rene
1580 Skeet Club Rd , High Point NC 27265-9530 -
Phung, Andy
507 N Lindsay St , High Point NC 27262-4303 -
Hudnall, Shane
2630 Willard Dairy Rd Suite 202, High Point NC 27265-8351 -
Borun, Alexander Gregory
2401 Hickswood Rd Ste 104, High Point NC 27265-1537