Individual
DR. STEVEN DAVID THIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2555 COURT DR STE 450, GASTONIA, NC 28054-2191
(704) 671-7652
(704) 671-7656
Mailing address
PO BOX 744786, ATLANTA, GA 30374-4786
(704) 834-2450
(704) 671-5331
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
19435
SC
208600000X
Surgery Physician
Primary
9701170
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
194355
—
SC
01
—
2062802
FIRST HEALTH
—
01
—
297391
MAMSI
—
05
—
790625X
—
NC
Enumeration date
06/20/2005
Last updated
02/10/2022
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