Healthcare Provider Details

I. General information

NPI: 1386830990
Provider Name (Legal Business Name): RHONDA H. STAHL, M.D.,P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2007
Last Update Date: 03/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 BROWNING PL STE 201
RALEIGH NC
27609-6508
US

IV. Provider business mailing address

3900 BROWNING PL STE 201
RALEIGH NC
27609-6530
US

V. Phone/Fax

Practice location:
  • Phone: 919-787-7125
  • Fax: 919-781-9952
Mailing address:
  • Phone: 919-787-7125
  • Fax: 919-781-9952

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number StateNC

VIII. Authorized Official

Name: DR. RHONDA H STAHL
Title or Position: PRESIDENT
Credential: M.D.
Phone: 919-787-7125