Mark Jung Stallworth in Winston Salem - Vascular & Interventional Radiology
Mark Jung Stallworth - NPI 1912958794
Mark Jung Stallworth is a Vascular & Interventional Radiology in Winston Salem, North Carolina. Mark Jung Stallworth practices all healthcare services and medical treatments related to Vascular & Interventional Radiology. The NPI Number for Mark Jung Stallworth is 1912958794. The last update date is 2016-09-14.
Mark Jung Stallworth's current location address is 3010 Trenwest Dr, Winston Salem, North Carolina. You can contact this provider via phone number 3369705300 and fax number 3369705298. The mailing address for Mark Jung Stallworth is 3010 Trenwest Dr, Winston Salem, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Jung Stallworth |
|---|---|
| Address | 3010 Trenwest Dr, Winston Salem, North Carolina |
| Phone Number | 3369705300 |
| Fax Number | 3369705298 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1912958794 |
|---|---|
| Provider Enumeration Date | 2006-05-15 |
| Last Updated Date | 2016-09-14 |
Provider Mailing Address Detail
| Address | 3010 Trenwest Dr |
|---|---|
| City | Winston Salem |
| State | North Carolina (NC) |
| Post Code | 271033208 |
| Phone Number | 3369705300 |
| Fax Number | 3369705298 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular & Interventional Radiology |
|---|---|
| Taxonomy | 2085R0204X |
| Licence No | 9401055 |
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Definition: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8979159 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mark Jung Stallworth by the Centers for Medicare & Medicaid Services?
The Mark Jung Stallworth has been issued the NPI (National Provider Identifier) 1912958794, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Mark Jung Stallworth is physically located?
The Mark Jung Stallworth is situated at the following address: 3010 Trenwest Dr, Winston Salem, NC 271033208.
What is Mark Jung Stallworth's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mark Jung Stallworth is Vascular & Interventional Radiology, and the taxonomy code that categorizes this field of expertise is 2085R0204X.
When did Mark Jung Stallworth receive its 1912958794 assignment?
The Mark Jung Stallworth was assigned its 1912958794 on 2006-05-15, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Mark Jung Stallworth, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mark Jung Stallworth, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-09-14.