Individual
EDWARD SPIRES STANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 ARH LANE, SUITE 202B, LOW MOOR, VA 24457
(540) 862-7181
Mailing address
1 ARH LANE, SUITE 202B, LOW MOOR, VA 24457
(540) 862-7181
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101236472
VA
208600000X
Surgery Physician
061521
GA
208600000X
Surgery Physician
27858
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144201278
—
VA
01
—
79324
BLUE CROSS BLUE SHIELD
NC
05
—
8979324
—
NC
01
—
P00338174
RAILROAD MEDICARE
—
Enumeration date
11/07/2005
Last updated
09/28/2012
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