Organization
STOCKS SURGICAL CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEWIS H. STOCKS III M.D., PH.D. (PRESIDENT)
(919) 850-0880
Entity
Organization
Contact information
Practice address
4414 LAKE BOONE TRL, SUITE 309, RALEIGH, NC 27607-7513
(919) 850-0880
(919) 872-5407
Mailing address
4414 LAKE BOONE TRL, SUITE 309, RALEIGH, NC 27607-7513
(919) 850-0880
(919) 872-5407
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80130
BCBS
NC
Enumeration date
04/11/2006
Last updated
10/11/2011
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