Healthcare Provider Details

I. General information

NPI: 1477896942
Provider Name (Legal Business Name): DEBORAH ANN STOIA PHYSICIAN ASSISTANT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2013
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3825 MARKET ST STE 6
WILMINGTON NC
28403-1426
US

IV. Provider business mailing address

3825 MARKET ST STE 6
WILMINGTON NC
28403-1426
US

V. Phone/Fax

Practice location:
  • Phone: 910-777-5575
  • Fax: 910-777-5273
Mailing address:
  • Phone: 910-777-5575
  • Fax: 910-777-5273

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0010-05031
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: