Blyth, Stacey

Blyth, Stacey is an individual health care provider with primary practice located at 2630 Willard Dairy Rd Ste 301 , High Point NC 27265-8354. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Blyth, Stacey can be contacted via phone (336) 884-3800.

Contact Information

Primary practice address
2630 Willard Dairy Rd Ste 301 High Point NC 27265-8354
Phone: (336) 884-3800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 200401473 North Carolina

Profile Details

NPI number 1679553135
LBN Legal business name Blyth, Stacey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Aug 11th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1679553135 NPPES
North Carolina Other D8827 MEDCOST
North Carolina MEDICAID 89138H7 MEDCOST
North Carolina Other 138H7 MEDCOST
North Carolina Other A19578 MEDCOST
North Carolina Other P00222461 MEDCOST
North Carolina Other 2478977 MEDCOST
North Carolina Other 1366706 MEDCOST

Popular Providers