Healthcare Provider Details

I. General information

NPI: 1659379162
Provider Name (Legal Business Name): ELWOOD E. STONE M. D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2005
Last Update Date: 05/13/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

807 N JUSTICE ST
HENDERSONVILLE NC
28791-3409
US

IV. Provider business mailing address

807 N JUSTICE ST
HENDERSONVILLE NC
28791-3409
US

V. Phone/Fax

Practice location:
  • Phone: 828-693-0294
  • Fax: 828-697-5738
Mailing address:
  • Phone: 828-693-0294
  • Fax: 828-697-5738

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number26474
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number26474
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: