Individual provider · Type 1 NPI
Mark Anthony Stultz
Student in an Organized Health Care Education/Training Program · Pinehurst, NC
NPI number
1245801554
Active
Practice location
155 Memorial Dr
Pinehurst, NC 28374-8710
Mailing address
669 Montclair Rd
Fayetteville, NC 28314-2312
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Technologist | 246QM0706X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1245801554
Mark Anthony Stultz's National Provider Identifier is 1245801554, issued on Jul 7, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pinehurst, NC. The record was last updated on Jul 7, 2021.