South, Stephen Alan

South, Stephen Alan is an individual health care provider with primary practice located at 2703 Henry St , Greensboro NC 27405-3669. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. South, Stephen Alan can be contacted via phone (336) 621-8911.

Contact Information

Primary practice address
2703 Henry St Greensboro NC 27405-3669
Phone: (336) 621-8911
Fax: (336) 621-6322
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 35210 North Carolina

Profile Details

NPI number 1043237472
LBN Legal business name South, Stephen Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2006
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043237472 NPPES
North Carolina MEDICAID 897844A

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