Individual
DR. DAVID J STALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2728 SUNSET BLVD STE 201, WEST COLUMBIA, SC 29169-4837
(803) 936-8100
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
20738
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T48268
—
SC
Enumeration date
08/12/2006
Last updated
06/14/2021
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