Provider Demographics
NPI:1962530923
Name:TROLLIP, DAWN STANFORD (MD)
Entity type:Individual
Prefix:DR
First Name:DAWN
Middle Name:STANFORD
Last Name:TROLLIP
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:KATHERINE
Other - Middle Name:DAWN
Other - Last Name:STANFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4414 LAKE BOONE TRAIL, SUITE 405
Mailing Address - Street 2:RALEIGH OB/GYN CENTRE, PA
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27607-7513
Mailing Address - Country:US
Mailing Address - Phone:919-876-8225
Mailing Address - Fax:919-876-3371
Practice Address - Street 1:4414 LAKE BOONE TRAIL
Practice Address - Street 2:SUITE 405
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607-7513
Practice Address - Country:US
Practice Address - Phone:919-876-8225
Practice Address - Fax:919-876-3371
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2009-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC127564207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2009-01316OtherNC MEDICAL LICENSE