Provider Demographics
NPI:1205481660
Name:STOOKSBURY, FRANKY LEE JR (PA)
Entity type:Individual
Prefix:
First Name:FRANKY
Middle Name:LEE
Last Name:STOOKSBURY
Suffix:JR
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:16 STONES THROW
Mailing Address - Street 2:
Mailing Address - City:WEST END
Mailing Address - State:NC
Mailing Address - Zip Code:27376-9321
Mailing Address - Country:US
Mailing Address - Phone:910-639-4263
Mailing Address - Fax:
Practice Address - Street 1:120 APPLECROSS RD STE 2
Practice Address - Street 2:
Practice Address - City:PINEHURST
Practice Address - State:NC
Practice Address - Zip Code:28374-8520
Practice Address - Country:US
Practice Address - Phone:910-692-8224
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-02
Last Update Date:2019-08-02
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant