Healthcare Provider Details

I. General information

NPI: 1487738357
Provider Name (Legal Business Name): MARGARET A. STETSON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 05/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 TIMBERHILL PL
CHAPEL HILL NC
27514-1595
US

IV. Provider business mailing address

110 TIMBERHILL PL TIMBERLYNE FAMILY MEDICAL CNTR
CHAPEL HILL NC
27514-1595
US

V. Phone/Fax

Practice location:
  • Phone: 919-942-8500
  • Fax:
Mailing address:
  • Phone: 919-942-8500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number23091
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: