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Individual

STEPHEN VICTOR BUTTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1243 W LEBANON ST, MOUNT AIRY, NC 27030-2227
(336) 786-6095
(336) 786-1003
Mailing address
1243 W LEBANON ST, MOUNT AIRY, NC 27030-2227
(336) 786-6095
(336) 786-1003

Taxonomy

Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
0104001100
VA
111NI0900X
Internist Chiropractor
Primary
1913
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0828K
BLUECROSS/BLUESHIELD/NC
NC
01
11736
PARTNERS
NC
01
318792
BSBSVA
VA
05
890828K
NC
Enumeration date
07/31/2006
Last updated
05/23/2008
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