Doctor Name: | TINA MARIE STANLEY |
NPI Number: | 1912163510 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.T. |
License Number: | 411530 |
Business Practice Address: | 103b Egret Landing Ct Surf City, NC - 284459410 |
Business Phone Number: | 8582543330 |
Business Fax Number: | |
Mailing Address: | 103b Egret Landing Ct, SURF CITY |
State: | NC |
Postal Code: | 284459410 |
Phone Number: | 8582543330 |
Fax Number: | |
NPI Enumeration Date: | 08/03/2008 |
NPI Last Update Date: | 08/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 247100000X |
License Number: | 411530 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Radiologic Technologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |