Provider Demographics
NPI:1063683456
Name:MARKEL, STACIE (RD)
Entity Type:Individual
Prefix:MS
First Name:STACIE
Middle Name:
Last Name:MARKEL
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 GREENVILLE BLVD SE
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-6736
Mailing Address - Country:US
Mailing Address - Phone:252-355-0000
Mailing Address - Fax:252-355-2777
Practice Address - Street 1:505 GREENVILLE BLVD SE
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-6736
Practice Address - Country:US
Practice Address - Phone:252-355-0000
Practice Address - Fax:252-355-2777
Is Sole Proprietor?:No
Enumeration Date:2008-03-13
Last Update Date:2008-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Metabolic