Provider Demographics
NPI:1134337173
Name:STONEROCK, EMILY M (MD)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:M
Last Name:STONEROCK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:EMILY
Other - Middle Name:C
Other - Last Name:MCDANIEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1590 FREEDOM BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29505-6071
Mailing Address - Country:US
Mailing Address - Phone:843-665-9581
Mailing Address - Fax:843-669-6426
Practice Address - Street 1:1590 FREEDOM BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29505-6071
Practice Address - Country:US
Practice Address - Phone:843-665-9581
Practice Address - Fax:843-669-6426
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2020-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0116015674390200000X
SC30142207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program