Provider Demographics
NPI:1467573980
Name:STOCK, ALEX V (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEX
Middle Name:V
Last Name:STOCK
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 60447
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-0447
Mailing Address - Country:US
Mailing Address - Phone:704-316-1040
Mailing Address - Fax:704-316-1041
Practice Address - Street 1:5325 VINNING ST NW
Practice Address - Street 2:SUITE 101
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28027-2942
Practice Address - Country:US
Practice Address - Phone:704-316-1040
Practice Address - Fax:704-316-1041
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2020-10-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2014-01479207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine