Organization
JACKIESTONELLC
Active
Organization
JACKIESTONELLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELYN AMBER STONE MD (PRESIDENT)
(256) 280-7922
Entity
Organization
Contact information
Practice address
2120 E FIRE TOWER RD STE 107-1070, GREENVILLE, NC 27858-9284
(256) 280-7922
Mailing address
3904 CANTATA DR, GREENVILLE, NC 27858-5328
(256) 280-7922
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
—
—
Other
Enumeration date
08/06/2026
Last updated
08/06/2026
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