Individual
CHARLES STONEROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
805 PAMPLICO HWY, STE B-300, FLORENCE, SC 29505-6019
(843) 676-2760
Mailing address
PO BOX 603898, CHARLOTTE, NC 28260-3898
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
21273
SC
2086S0129X
Vascular Surgery Physician
Primary
21273
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679530968
GROUP NPI
SC
05
—
212736
—
SC
01
—
7937
MEDICARE GROUP NUMBER
SC
Enumeration date
07/10/2006
Last updated
04/24/2020
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