| Warren Stacks Md | |
|
1400 Westgate Center Dr Ste 140 Winston Salem NC 27103-3104 | |
| (336) 659-9440 | |
| (336) 659-9845 |
| Full Name | Warren Stacks Md |
|---|---|
| Speciality | Family Medicine |
| Location | 1400 Westgate Center Dr Ste 140, Winston Salem, North Carolina |
| Authorized Official Name and Position | Warren Stacks (OWNER) |
| Authorized Official Contact | 3366599440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Warren Stacks Md Po Box 30249 Winston Salem NC 27130-0249 Ph: (336) 659-9440 | Warren Stacks Md 1400 Westgate Center Dr Ste 140 Winston Salem NC 27103-3104 Ph: (336) 659-9440 |
| NPI Number | 1376714816 |
|---|---|
| Provider Enumeration Date | 03/12/2008 |
| Last Update Date | 04/08/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376714816 | NPI | - | NPPES |
| 79116 | Other | NC | BCBS |
| 8979116 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 9401498 (North Carolina) | Primary |
Mccorkle Laboratory Enterprise Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 W 5th St Ste 800, Winston Salem, NC 27101 Phone: 336-800-5227 | |
North Carolina General Management Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3051 Waughtown St, Winston Salem, NC 27107 Phone: 336-726-5090 | |
Wake Forest University Health Sciences Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 | |
Wake Forest Health Network Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1665 Westbrook Plaza Dr, Winston Salem, NC 27103 Phone: 336-760-8380 Fax: 336-760-8388 | |
Preventative Wellness Solutions I Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3878 Oxford Station Way, Winston Salem, NC 27103 Phone: 336-517-0072 | |
Forsyth Memorial Hospital Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Jonestown Rd, Winston Salem, NC 27104 Phone: 336-769-9515 Fax: 336-768-9082 | |
One Medical, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3274 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-604-2822 |