Healthcare Provider Details

I. General information

NPI: 1710484795
Provider Name (Legal Business Name): STEPHANIE MARIE STALCUP M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2018
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 N CENTER ST
HICKORY NC
28601-5033
US

IV. Provider business mailing address

420 N CENTER ST
HICKORY NC
28601-5033
US

V. Phone/Fax

Practice location:
  • Phone: 828-315-5000
  • Fax:
Mailing address:
  • Phone: 828-315-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number47385
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberT6047
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number1710484795
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: