Provider Demographics
NPI:1164246179
Name:FOLTZ, STEPHANIE (RDMS)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:FOLTZ
Suffix:
Gender:F
Credentials:RDMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1260 GARLIC HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22824-3860
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1260 GARLIC HOLLOW RD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:VA
Practice Address - Zip Code:22824-3860
Practice Address - Country:US
Practice Address - Phone:540-246-9399
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-14
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1403812471S1302X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography