Organization
STOKES REYNOLDS MEMORIAL HOSPITAL, INC.
Active
Parent organization
STOKES REYNOLDS MEMORIAL HOSPITAL, INC.
Other names
Stokes Medical Associates-Pediatrics
Organization subpart
Yes
Provider details
NPI number
Legal business name
STOKES REYNOLDS MEMORIAL HOSPITAL, INC.
Authorized official
PAMELA P TILLMAN (CHIEF OPERATING OFFICER)
(336) 593-5314
Entity
Organization
Contact information
Practice address
1030 HOSPICE DRIVE, DANBURY, NC 27016-1030
(336) 593-5354
(336) 593-5331
Mailing address
PO BOX 10, DANBURY, NC 27016-0010
(336) 593-5354
(336) 593-5331
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
235111F
MEDICARE PTAN GROUP#
NC
05
—
5908390
—
NC
Enumeration date
11/15/2007
Last updated
02/18/2010
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