Organization
GOLDSBORO MEDICAL SPECIALISTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM JAMES STACKHOUSE MD (MANAGING PARTNER)
(919) 734-9455
Entity
Organization
Contact information
Practice address
201 COX BLVD, GOLDSBORO, NC 27534-9479
(919) 734-9455
(919) 734-4769
Mailing address
201 COX BLVD, GOLDSBORO, NC 27534-9479
(919) 734-9455
(919) 734-4769
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01643
BLUE CR OSS
NC
05
—
8901643
—
NC
Enumeration date
03/17/2006
Last updated
08/12/2010
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