Individual
BENJAMIN ROBERT STACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1450 FERN CREEK DR, STATESVILLE, NC 28625-9376
(704) 818-9191
(704) 872-3782
Mailing address
200 E 2ND AVE, GASTONIA, NC 28052-4358
(704) 874-1900
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2019-00320
NC
Other
Enumeration date
05/21/2014
Last updated
12/04/2025
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