Provider Demographics
NPI:1326072844
Name:STERLING, DAVID M JR (PAC)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:M
Last Name:STERLING
Suffix:JR
Gender:M
Credentials:PAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:612 SAVIN CT
Mailing Address - Street 2:
Mailing Address - City:GRIMESLAND
Mailing Address - State:NC
Mailing Address - Zip Code:27837-9186
Mailing Address - Country:US
Mailing Address - Phone:252-474-6621
Mailing Address - Fax:
Practice Address - Street 1:958 US HWY 64 EAST P.O.
Practice Address - Street 2:WASHINGTON COUNTY HOSPITAL
Practice Address - City:PLYMOUTH
Practice Address - State:NC
Practice Address - Zip Code:27962-0707
Practice Address - Country:US
Practice Address - Phone:252-793-4135
Practice Address - Fax:252-793-7802
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC101925363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
S39511Medicare UPIN
NC2743794HMedicare ID - Type Unspecified