Individual
STACY CRAIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3001 SPRING FOREST RD, RALEIGH, NC 27616-2815
(910) 692-7293
Mailing address
507 KERR LAKE RD, ABERDEEN, NC 28315-7056
(704) 798-3800
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3659
NC
Other
Enumeration date
06/26/2012
Last updated
06/26/2012
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