Provider Demographics
NPI:1205348877
Name:STONER, DAVID GENE II (RD, LDN)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:GENE
Last Name:STONER
Suffix:II
Gender:M
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2715 GUSTY LN
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28110-8001
Mailing Address - Country:US
Mailing Address - Phone:704-691-5862
Mailing Address - Fax:
Practice Address - Street 1:13521 STEELECROFT PKWY STE B
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28278-7889
Practice Address - Country:US
Practice Address - Phone:704-315-5845
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-03
Last Update Date:2018-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL005319133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered