Individual
DR. STACY GANNAWAY HAPONIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9930 KINCEY AVE STE 300, HUNTERSVILLE, NC 28078-6541
(704) 316-5600
(704) 316-5613
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-5416
(704) 384-5992
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2008-00967
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5910441
—
NC
Enumeration date
07/17/2007
Last updated
02/03/2025
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