Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 0116024043 | VA |
Y | 111NI0900X | Internist | 0116024043 | VA |
NPI | 1003172313 |
---|---|
Provider Name | Dr. Buddy Buford Stokes II |
First Address | Danville, VA 24541-2922 |
Second Address | Danville, VA 24541-4712 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2012 |
Last Update Date | 11/04/2012 |