Healthcare Provider Details

I. General information

NPI: 1952470056
Provider Name (Legal Business Name): HAL T STONEKING MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 04/22/2021
Certification Date: 04/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 E WENDOVER AVE SUITE 200
GREENSBORO NC
27401-1230
US

IV. Provider business mailing address

PO BOX 14883
GREENSBORO NC
27415-4883
US

V. Phone/Fax

Practice location:
  • Phone: 336-274-3241
  • Fax: 336-274-5021
Mailing address:
  • Phone: 336-274-3241
  • Fax: 336-274-5021

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number28576
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: