Individual
GREGORY C. STONESTREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5480 BIG TYLER RD, CROSS LANES, WV 25313-1116
(304) 776-2409
(304) 776-2023
Mailing address
5480 BIG TYLER RD, CROSS LANES, WV 25313-1116
(304) 776-2409
(304) 776-2023
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13291
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0057324000
—
WV
Enumeration date
07/14/2005
Last updated
07/08/2007
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