Healthcare Provider Details

I. General information

NPI: 1326072844
Provider Name (Legal Business Name): DAVID M. STERLING JR. PAC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 03/25/2021
Certification Date: 03/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

958 US HWY 64 EAST P.O. WASHINGTON COUNTY HOSPITAL
PLYMOUTH NC
27962-0707
US

IV. Provider business mailing address

612 SAVIN CT
GRIMESLAND NC
27837-9186
US

V. Phone/Fax

Practice location:
  • Phone: 252-793-4135
  • Fax: 252-793-7802
Mailing address:
  • Phone: 252-474-6621
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number101925
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: