Corontzes, Stephen Alexander
Corontzes, Stephen Alexander is an individual health care provider with primary practice located at 600 Singleton Ridge Rd , Conway SC 29526-9154. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Corontzes, Stephen Alexander can be contacted via phone (843) 347-9099.Contact Information
Primary practice address
600 Singleton Ridge Rd
Conway SC 29526-9154
Phone: (843) 347-9099
Fax: (843) 347-9029
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 13931 | South Carolina |
Profile Details
| NPI number | 1366513608 |
|---|---|
| LBN Legal business name | Corontzes, Stephen Alexander |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 10th, 2006 |
| Last updated | Apr 7th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366513608 | NPPES |
| South Carolina | MEDICAID | GP2059 |
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