Individual
JON SCOTT STANCIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1432 E FIRE TOWER RD, GREENVILLE, NC 27858-4105
(252) 439-1150
(252) 439-1152
Mailing address
1432 E FIRE TOWER RD, GREENVILLE, NC 27858-4105
(252) 439-1150
(252) 439-1152
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
412
NC
213ES0103X
Foot & Ankle Surgery Podiatrist
412
NC
213ES0131X
Foot Surgery Podiatrist
412
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0801A
BCBS
NC
05
—
790801A
—
NC
Enumeration date
03/31/2006
Last updated
08/10/2017
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