Individual
DR. RODNEY JAY STANLEY
Active
Individual
DR. RODNEY JAY STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2006-01142
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015XT
BCBS GROUP ID
NC
01
—
1428Y
BCBS
NC
01
—
2006-01142
NC STATE LIC
NC
01
—
4519120001
PALMETTO GBE DMERC GROUP ID
NC
05
—
5904690
—
NC
01
—
89015XT
MEDICAID GROUP ID
NC
01
—
DE4365
RAILROAD MEDICARE GROUP ID
NC
01
—
M2127
MD LICENSE
TX
01
—
MD025310
MD LICENSE
LA
01
—
P00401272
RAILROAD MEDICARE INDIVIDUAL ID
NC
Enumeration date
10/02/2006
Last updated
11/26/2014
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