Individual
CONSTANCE ANN STANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 716-7595
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
(336) 716-7595
Taxonomy
Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
Primary
38211
NC
207ZP0101X
Anatomic Pathology Physician
38211
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14714
PARTNERS
NC
01
—
220032247
RR MEDICARE
—
05
—
221714000
—
WV
01
—
4625256
AETNA
—
01
—
64248
MEDCOST
—
05
—
6601642
—
VA
01
—
79282
BCBS
—
05
—
7979282
—
NC
05
—
Q38211
—
SC
Enumeration date
11/30/2005
Last updated
09/23/2010
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