Individual
ELMER STAMPER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
5727 PROSPERITY CROSSING DR, STE 1100, CHARLOTTE, NC 28269-2206
(704) 863-9930
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
100823
NC
363A00000X
Physician Assistant
PA2072
SC
Other
Enumeration date
02/15/2007
Last updated
12/20/2019
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