Individual
STEPHANIE BRINKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1812 STONE ROSE DR, ROCKY MOUNT, NC 27804-2512
(252) 212-8191
Mailing address
1812 STONE ROSE DR, ROCKY MOUNT, NC 27804-2512
(252) 212-8191
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C77994
NC
Other
Enumeration date
01/16/2015
Last updated
01/16/2015
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