| Dr Joseph J Staab, DO | |
|
1000 W Hamlet Ave, Medical Imaging, Hamlet, NC 28345-4522 | |
| (910) 205-8155 | |
| (910) 205-8003 |
| Full Name | Dr Joseph J Staab |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 1000 W Hamlet Ave, Hamlet, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306839576 | NPI | - | NPPES |
| 2037030 | Medicaid | OH | |
| 5907191 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 34-00-5668-S (Ohio) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 2007-01154 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Joseph J Staab, DO Po Box 100523, Florence, SC 29502-0523 Ph: (843) 669-5162 | Dr Joseph J Staab, DO 1000 W Hamlet Ave, Medical Imaging, Hamlet, NC 28345-4522 Ph: (910) 205-8155 |
Dr. Gregory C Smith, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1000 W Hamlet Ave, Radiology Dept, Hamlet, NC 28345 Phone: 843-669-5162 Fax: 843-667-4573 |