Individual
BRYAN DWAYNE STUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2706 MEDICAL OFFICE PL, GOLDSBORO, NC 27534-9460
(919) 734-4736
Mailing address
2706 MEDICAL OFFICE PL, GOLDSBORO, NC 27534-9460
(919) 734-4736
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2014-00559
NC
Other
Enumeration date
04/11/2011
Last updated
03/07/2023
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