Provider Demographics
NPI:1831483445
Name:GOINGS, STELLA ALICE (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:STELLA
Middle Name:ALICE
Last Name:GOINGS
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3908 LAKE FRONT CIR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-2712
Mailing Address - Country:US
Mailing Address - Phone:571-858-9031
Mailing Address - Fax:
Practice Address - Street 1:3908 LAKE FRONT CIR
Practice Address - Street 2:SUITE 201
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-2712
Practice Address - Country:US
Practice Address - Phone:571-858-9031
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-01
Last Update Date:2015-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD039611207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine