Individual
ALLSTON JULIUS STUBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 716-8018
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
(336) 716-8018
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
200201533
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
143KU
BCBS
NC
01
—
5705050
AETNA
NC
05
—
5905396
—
NC
05
—
Q0153A
—
SC
Enumeration date
02/09/2006
Last updated
12/21/2010
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