Individual provider · Type 1 NPI

Glenn M. Stanley, PA-C

Physician Assistant · Fayetteville, NC

NPI number 1770570822 Active

Practice location

420 Owen Dr
Fayetteville, NC 28304-3430

Fax (910) 484-1347

Mailing address

7169 Goldsboro Rd
Wade, NC 28395-8959

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X102083 (NC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1770570822

Glenn M. Stanley, PA-C's National Provider Identifier is 1770570822, issued on Oct 4, 2005. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fayetteville, NC. The record was last updated on Feb 20, 2017.