Individual
DR. LANDON EVERETT STIGALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6752 ROCK SPRING RD STE 201, WILMINGTON, NC 28405
(910) 782-0028
(910) 765-7488
Mailing address
1450 PROFESSIONAL PARK DR STE 150, WINSTON SALEM, NC 27103-1307
(336) 724-2434
(336) 724-6123
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
2017-00729
NC
207ND0101X
MOHS-Micrographic Surgery Physician
MD51543
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NCX252C511
MEDICARE
NC
Enumeration date
03/20/2009
Last updated
06/13/2018
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