Stacy, Mark

Stacy, Mark is an individual health care provider with primary practice located at 2280 Hemby Ln , Greenville NC 27834-3773. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Stacy, Mark can be contacted via phone (252) 744-9400.

Contact Information

Primary practice address
2280 Hemby Ln Greenville NC 27834-3773
Phone: (252) 744-9400
Fax: (252) 744-9401
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 2003-00890 North Carolina

Profile Details

NPI number 1205910171
LBN Legal business name Stacy, Mark
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Nov 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205910171 NPPES
North Carolina Other 135AM BCBS OF NC
North Carolina MEDICAID 1205910171 BCBS OF NC
North Carolina Other NCZ9770322 BCBS OF NC

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