Individual
MARK STACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2280 HEMBY LN, GREENVILLE, NC 27834-3773
(252) 744-9400
(252) 744-9401
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2003-00890
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205910171
—
NC
01
—
135AM
BCBS OF NC
NC
01
—
NCZ9770322
MEDICARE
NC
Enumeration date
10/25/2006
Last updated
11/02/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us