Basic Information
| Provider Information | |||||||||
| NPI: | 1801242532 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | STAUFFER-MACDOWELL | ||||||||
| FirstName: | CODY | ||||||||
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| Mailing Information | |||||||||
| Address1: | 329 RED FOX CIR | ||||||||
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| City: | ASHEVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 288033382 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 101 MANNING DR | ||||||||
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| City: | CHAPEL HILL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275144220 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9849747835 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/12/2016 | ||||||||
| LastUpdateDate: | 07/22/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 218176 | NC | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.