Provider Demographics
NPI:1043894488
Name:HUNTER, STACI PAIGE (DO)
Entity Type:Individual
Prefix:DR
First Name:STACI
Middle Name:PAIGE
Last Name:HUNTER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 MEDICAL CENTER BLVD JANEWAY TOWER 9
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27157-0001
Mailing Address - Country:US
Mailing Address - Phone:336-716-2317
Mailing Address - Fax:336-702-9400
Practice Address - Street 1:1 MEDICAL CENTER BLVD JANEWAY TOWER 9
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27157-0001
Practice Address - Country:US
Practice Address - Phone:336-716-2317
Practice Address - Fax:336-702-9400
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-11
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program