Organization
STALLS MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY C. STALLS (PRESIDENT)
(919) 233-0732
Entity
Organization
Contact information
Practice address
7980 CHAPEL HILL RD, SUITE 101, CARY, NC 27513-4162
(919) 233-0732
(919) 233-0525
Mailing address
7980 CHAPEL HILL RD, SUITE 101, CARY, NC 27513-4162
(919) 233-0732
(919) 233-0525
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
00324
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7700468
—
NC
Enumeration date
04/24/2007
Last updated
01/23/2012
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