Glenn M Stanley in Wade - Physician Assistant

Glenn M Stanley - NPI 1770570822

Glenn M Stanley is a Physician Assistant in Wade, North Carolina. Glenn M Stanley practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Glenn M Stanley is 1770570822. The last update date is 2017-02-20.

Glenn M Stanley's current location address is 7169 Goldsboro Rd, Wade, North Carolina. You can contact this provider via phone number 9107171714. The mailing address for Glenn M Stanley is 7169 Goldsboro Rd, Wade, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Glenn M Stanley
Address 7169 Goldsboro Rd, Wade, North Carolina
Phone Number 9107171714
Fax Number
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1770570822
Provider Enumeration Date 2005-10-04
Last Updated Date 2017-02-20

Provider Mailing Address Detail

Address 7169 Goldsboro Rd
City Wade
State North Carolina (NC)
Post Code 283958959
Phone Number 9107171714
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 102083
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Glenn M Stanley

What is the Glenn M Stanley's unique identification number?

The Glenn M Stanley has been assigned the NPI (National Provider Identifier) Number 1770570822 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Glenn M Stanley is physically located?

The Glenn M Stanley is situated at the following address: 7169 Goldsboro Rd, Wade, NC 283958959.

What is the Glenn M Stanley's specialty and taxonomy code?

The Glenn M Stanley's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.

On what date did the Glenn M Stanley receive the assignment of its 1770570822 from the Centers for Medicare & Medicaid Services?

The Glenn M Stanley was issued its 1770570822 by the Centers for Medicare & Medicaid Services on 2005-10-04.

When was the information pertaining to Glenn M Stanley most recently updated or revised?

The details related to Glenn M Stanley, including its address, specialty, and other relevant information, were last updated or revised on 2017-02-20.

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