Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mark Jung Stallworth, MD

Individual provider Diagnostic Radiology Physician · NPI 1912958794

Dr. Mark Jung Stallworth, MD is a Diagnostic Radiology Physician in Winston Salem, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1900 S Hawthorne Rd
Winston Salem, NC 27103-3913
Phone: (336) 970-5300
Fax: (336) 659-2379
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 9401055 (NC)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence 9401055 (NC)

Record details

NPI number1912958794
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 15, 2006
Last updated in NPPESSeptember 14, 2016

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