Individual
ANGELA STORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2405 N FRASER ST, GEORGETOWN, SC 29440-7764
(843) 651-3308
(843) 651-4629
Mailing address
PO BOX 421718, GEORGETOWN, SC 29442-4203
(843) 527-7000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
92925
SC
208600000X
Surgery Physician
R72675
AZ
208600000X
Surgery Physician
R9668
IA
Other
Enumeration date
07/13/2011
Last updated
04/06/2026
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