# GOLDSBORO MEDICAL SPECIALISTS PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770552069
- **Authorized official:** DR. WILLIAM JAMES STACKHOUSE MD (MANAGING PARTNER)
- **Authorized official phone:** (919) 734-9455

## Contact information

- **Practice address:** 201 COX BLVD, GOLDSBORO, NC 27534-9479
- **Practice address phone:** (919) 734-9455
- **Practice address fax:** (919) 734-4769
- **Mailing address:** 201 COX BLVD, GOLDSBORO, NC 27534-9479
- **Mailing address phone:** (919) 734-9455
- **Mailing address fax:** (919) 734-4769

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/17/2006
- **Last updated:** 08/12/2010
