Individual provider · Type 1 NPI
Vanessa Miller Stovall, PA
Medical Physician Assistant · Goldsboro, NC
NPI number
1801923016
Active
Practice location
701 Stevens Mill Rd
Goldsboro, NC 27530
Fax (919) 731-2048
Mailing address
602 Lakeshore Dr
Goldsboro, NC 27534-8970
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 0100646 (NC) |
Medical Physician Assistant: Definition to come...
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About NPI 1801923016
Vanessa Miller Stovall, PA's National Provider Identifier is 1801923016, issued on Feb 27, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Goldsboro, NC. The record was last updated on Jul 8, 2007.