Healthcare Provider Details

I. General information

NPI: 1346221413
Provider Name (Legal Business Name): KARLTON A STEIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2005
Last Update Date: 12/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

428 S MAGNOLIA AVE
WAYNESBORO VA
22980-3629
US

IV. Provider business mailing address

813 OAK AVENUE EXT
WAYNESBORO VA
22980-4420
US

V. Phone/Fax

Practice location:
  • Phone: 540-949-8241
  • Fax: 540-949-5582
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0101-026600
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: