Individual
STEPHEN WARREN HARTZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
486 HOSPITAL DR, CLYDE, NC 28721-8026
(828) 452-5816
(828) 452-0373
Mailing address
486 HOSPITAL DR, CLYDE, NC 28721-8026
(828) 452-5816
(828) 452-0373
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
9900863
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891233J
—
NC
Enumeration date
09/21/2005
Last updated
08/25/2011
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