Provider Demographics
NPI:1497933899
Name:STANTON, MEREDITH MURPHY (MD)
Entity Type:Individual
Prefix:DR
First Name:MEREDITH
Middle Name:MURPHY
Last Name:STANTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MEREDITH
Other - Middle Name:LOUISE
Other - Last Name:MURPHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 843425
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02284-3425
Mailing Address - Country:US
Mailing Address - Phone:910-715-3376
Mailing Address - Fax:910-715-5391
Practice Address - Street 1:35 MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:PINEHURST
Practice Address - State:NC
Practice Address - Zip Code:28374-8708
Practice Address - Country:US
Practice Address - Phone:910-715-3376
Practice Address - Fax:910-715-5391
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-07
Last Update Date:2016-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC341302084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCNCR636C665Medicare PIN
SCAA79603338Medicare UPIN