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Blake Austin Stephens, MD
Student in an Organized Health Care Education/Training Program in Charlotte, North Carolina
NPI 1285384701

Blake Austin Stephens is a Student in an Organized Health Care Education/Training Program based in Lexington, NC. Blake Austin Stephens practices in Charlotte, NC and has the professional credentials of MD. The NPI Number for Blake Austin Stephens is 1285384701 and holds a License No. (North Carolina).

The current practice location address for Blake Austin Stephens is 1000 Blythe Blvd Ste 601, Charlotte, NC and can be reached out via phone at 704-355-7874 and via fax at 704-355-5619.

Location: 1000 Blythe Blvd Ste 601, Charlotte, NC, 40502-1720
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285384701
Provider Name
Blake Austin Stephens
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1000 Blythe Blvd Ste 601, Charlotte, NC, 40502-1720
Phone Number
704-355-7874
Fax Number
704-355-5619
Provider Enumeration Date
03/27/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1000 Blythe Blvd Ste 601
City
Charlotte
State
North Carolina
Zip
28203-5871
Phone Number
704-355-7874
Fax Number
704-355-5619
person
Provider Business Mailing Address Details
Address
1000 Blythe Blvd Ste 601
City
Charlotte
State
North Carolina
Zip
28203-5871
Phone Number
704-355-7874
Fax Number
704-355-5619
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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