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NPI Code Detail

MEDICARE: DR. JEFFREY ALLEN STINSON M.D.

MEDICARE: DR. JEFFREY ALLEN STINSON M.D.
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
1207V00000XObstetrics & Gynecology Physician2004-00603NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982671665
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY ALLEN STINSON M.D.
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 : 2150 SHIPYARD BLVD
Second Line :
City : WILMINGTON
State : NC
Zip : 28403-8052
Country : US
Telephone Number : 910-662-9300
Fax Number : 910-662-9301
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2006
Last Update Date : 05/26/2021

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