Individual
DR. PATRICIA L STANFORD-ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3044 SUNSET AVE, ROCKY MOUNT, NC 27804-3647
(252) 443-7011
(252) 443-6013
Mailing address
3044 SUNSET AVE, ROCKY MOUNT, NC 27804-3647
(252) 443-7011
(252) 443-6013
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1205
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09014
BCBS INDIVIDUAL NUMBER
NC
05
—
8909014
—
NC
Enumeration date
01/27/2006
Last updated
06/26/2008
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