Individual
DR. JERRY ARCHIBALD STIRMAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1101 DRESSER CT, RALEIGH, NC 27609-7327
(919) 876-2010
(919) 954-0555
Mailing address
1101 DRESSER CT, RALEIGH, NC 27609-7327
(919) 876-2010
(919) 954-0555
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0000-23783
NC
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
000023783
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8980094
—
NC
Enumeration date
07/28/2005
Last updated
08/14/2009
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