Warren Stacks MD
NPI #1376714816 in Winston Salem, North Carolina
Provider Information
- NPI Number
- 1376714816
- Entity Type
- Organization
- Organization Name
- Warren Stacks MD
- Primary Specialty
- Family Medicine
- Enumeration Date
- Mar 12, 2008
- Last Updated
- Apr 8, 2010
Practice Location
- Address
- 1400 WESTGATE CENTER DR STE 140
- City
- Winston Salem
- State
- North Carolina
- ZIP Code
- 27103-3104
- Phone
- (336) 659-9440
Authorized Official
- Name
- DR. WARREN STACKS, MD
- Title
- OWNER
- Phone
- (336) 659-9440
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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