Individual
DR. MARK JUNG STALLWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1900 S HAWTHORNE RD, WINSTON SALEM, NC 27103-3913
(336) 970-5300
(336) 659-2379
Mailing address
3010 TRENWEST DR, WINSTON SALEM, NC 27103-3208
(336) 970-5300
(336) 970-5298
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
9401055
NC
2085R0204X
Vascular & Interventional Radiology Physician
9401055
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8979159
—
NC
Enumeration date
05/15/2006
Last updated
09/14/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us