Provider Demographics
NPI:1538141866
Name:STELLA, M. MERIKATON FEAVER (MD)
Entity type:Individual
Prefix:DR
First Name:M. MERIKATON
Middle Name:FEAVER
Last Name:STELLA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:88 HOSPITAL DR
Mailing Address - Street 2:
Mailing Address - City:SPRUCE PINE
Mailing Address - State:NC
Mailing Address - Zip Code:28777-8943
Mailing Address - Country:US
Mailing Address - Phone:828-765-6101
Mailing Address - Fax:
Practice Address - Street 1:88 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:SPRUCE PINE
Practice Address - State:NC
Practice Address - Zip Code:28777-8943
Practice Address - Country:US
Practice Address - Phone:828-765-6101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-14
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200000984207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89128RYMedicaid
NCH34219Medicare UPIN
NC89128RYMedicaid