Stacy Wentworth in Greensboro - Radiation Oncology

Stacy Wentworth - NPI 1073792974

Stacy Wentworth is a Radiation Oncology in Greensboro, North Carolina. Stacy Wentworth practices all healthcare services and medical treatments related to Radiation Oncology. The NPI Number for Stacy Wentworth is 1073792974. The last update date is 2012-08-10.

Stacy Wentworth's current location address is 501 N. Elam Avenue, Greensboro, North Carolina. You can contact this provider via phone number 3368321100. The mailing address for Stacy Wentworth is 501 N. Elam Avenue, Greensboro, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Stacy Wentworth
Address 501 N. Elam Avenue, Greensboro, North Carolina
Phone Number 3368321100
Fax Number
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1073792974
Provider Enumeration Date 2007-10-26
Last Updated Date 2012-08-10

Provider Mailing Address Detail

Address 501 N. Elam Avenue
City Greensboro
State North Carolina (NC)
Post Code 27403
Phone Number 3368321100
Fax Number

Provider's Primary Taxonomy Detail

Speciality Radiation Oncology
Taxonomy 2085R0001X
Licence No 2007-00580
Definition:
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1073792974 VA --
P00838358 NC MEDICARE RAILROAD
5912234 NC --

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FAQs about Stacy Wentworth

What is the Stacy Wentworth's 1073792974?

The Stacy Wentworth's NPI (National Provider Identifier) Number is 1073792974. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Stacy Wentworth?

The Stacy Wentworth is physically situated at 501 N. Elam Avenue, in the city of Greensboro, state of NC, with the postal code 27403.

What is Stacy Wentworth's specialized field of practice, and what is the corresponding taxonomy classification code?

The Stacy Wentworth's area of specialization is Radiation Oncology, and the corresponding taxonomy code that categorizes this field of practice is 2085R0001X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1073792974 to Stacy Wentworth?

The Centers for Medicare & Medicaid Services originally issued the 1073792974 to Stacy Wentworth on 2007-10-26.

As of what date were the details pertaining to Stacy Wentworth last refreshed?

The information related to the Stacy Wentworth, including its address, specialty, and other relevant details, was last updated on 2012-08-10.

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