DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: BENJAMIN RYAN STALEY

MEDICARE: BENJAMIN RYAN STALEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant
2363A00000XPhysician Assistant0010-15849NC

General Provider Information

NPI Number : 1972220168
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENJAMIN RYAN STALEY
Provider Business Mailing Address
First Line : PO BOX 936857
Second Line :
City : ATLANTA
State : GA
Zip : 31193-6857
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1415 PHYSICIANS DR
Second Line :
City : WILMINGTON
State : NC
Zip : 28401-7338
Country : US
Telephone Number : 910-662-9500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2022
Last Update Date : 12/11/2025

Similar Medicare Providers

1679577407 — DR. ROBERT ALAN ASHWORTH PHARM D
Practice Location Address:
1415 PHYSICIANS DR
WILMINGTON, NC
28401-7338
Practice Phone: 910-662-9691
Practice Fax: 910-662-9501
1184621377 — DR. MARGARET B COLLINS MD
Practice Location Address:
1415 PHYSICIANS DR
WILMINGTON, NC
28401-7338
Practice Phone: 910-662-9500
Practice Fax: 910-662-9501
1376537118 — MARTIN JAMES CONLEY JR. MD
Practice Location Address:
1415 PHYSICIANS DR
WILMINGTON, NC
28401-7338
Practice Phone: 910-662-9500
Practice Fax: 910-662-9501
1710971577 — DAVID THOMAS SAWYER MD
Practice Location Address:
1415 PHYSICIANS DR
WILMINGTON, NC
28401-7338
Practice Phone: 910-662-9500
Practice Fax: 910-668-9501
1588658025 — PETER JOSEPH WIEGMAN MD
Practice Location Address:
1415 PHYSICIANS DR
WILMINGTON, NC
28401-7338
Practice Phone: 910-662-9500
Practice Fax: 910-662-9501
1851385355 — JAMES SNYDER MD
Practice Location Address:
1415 PHYSICIANS DR
WILMINGTON, NC
28401-7338
Practice Phone: 910-662-9500
Practice Fax:

Directions to “ BENJAMIN RYAN STALEY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.