Stovall, Vicki Mizue

Stovall, Vicki Mizue is an individual health care provider with primary practice located at 404 Westwood Ave Suite 105, High Point NC 27262-4315. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Stovall, Vicki Mizue can be contacted via phone (919) 882-6500.

Contact Information

Primary practice address
404 Westwood Ave Suite 105 High Point NC 27262-4315
Phone: (919) 882-6500
Fax: (919) 882-6501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 38854 North Carolina

Profile Details

NPI number 1295774081
LBN Legal business name Stovall, Vicki Mizue
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Jul 24th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295774081 NPPES
North Carolina Other 80204 BLUE CROSS/BLUE SHIELD
North Carolina MEDICAID 8980204 BLUE CROSS/BLUE SHIELD

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