Individual
DR. JODY BOVARD-STUCKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
510 N ELAM AVE STE 101, GREENSBORO, NC 27403-1142
(336) 854-8800
(336) 299-4308
Mailing address
510 N ELAM AVE STE 101, GREENSBORO, NC 27403-1142
(336) 854-8800
(336) 299-4308
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
200701275
NC
207VG0400X
Gynecology Physician
200701275
NC
Other
Enumeration date
08/06/2007
Last updated
04/08/2015
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