Individual
FELICIA STAKELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 PAMALEE DR, FAYETTEVILLE, NC 28301-2824
(910) 488-2295
Mailing address
294 FIFTY CALIBER DR, BROADWAY, NC 27505-8121
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
12088
NC
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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