Individual
ALLISON GRAY STILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
100 AIRPORT RD, KINSTON, NC 28501-1604
(252) 522-7919
Mailing address
100 AIRPORT ROAD, VANCEBORO, NC 28504
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A4056
NC
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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