Healthcare Provider Details

I. General information

NPI: 1861495616
Provider Name (Legal Business Name): DAVID M STAMILIO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2005
Last Update Date: 08/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MEDICAL CENTER BLVD
WINSTON SALEM NC
27157-4220
US

IV. Provider business mailing address

101 MANNING DR UNC HOSPITALS
CHAPEL HILL NC
27514-4220
US

V. Phone/Fax

Practice location:
  • Phone: 336-716-2255
  • Fax:
Mailing address:
  • Phone: 919-966-1601
  • Fax: 919-966-6377

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number2013-00872
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number2013-00872
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: