Healthcare Provider Details

I. General information

NPI: 1124079884
Provider Name (Legal Business Name): DAWN MARIE STANLEY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2006
Last Update Date: 05/15/2025
Certification Date: 05/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1413 GREENWAY CT
SANFORD NC
27330-6954
US

IV. Provider business mailing address

1413 GREENWAY CT
SANFORD NC
27330-6954
US

V. Phone/Fax

Practice location:
  • Phone: 919-292-1201
  • Fax: 919-292-1205
Mailing address:
  • Phone: 919-292-1201
  • Fax: 919-292-1205

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number43280
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number43280
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number43280
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: