Individual
MR. MARK ANTHONY STULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
155 MEMORIAL DR, PINEHURST, NC 28374-8710
(901) 715-1000
Mailing address
669 MONTCLAIR RD, FAYETTEVILLE, NC 28314-2312
(678) 492-9058
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/07/2021
Last updated
07/07/2021
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