Individual
STACY R KRAINIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
810 WH SMITH BLVD, GREENVILLE, NC 27834-3763
(252) 757-2663
(252) 317-0829
Mailing address
310 S MCCASKEY RD, WILLIAMSTON, NC 27892-2150
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
15144
NC
Other
Enumeration date
08/19/2014
Last updated
01/25/2016
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