Individual
STEPHEN ANDREW SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 S SHARON AMITY RD STE 300, CHARLOTTE, NC 28211-0035
(704) 377-2424
(704) 377-2687
Mailing address
501 S SHARON AMITY RD, STE 300, CHARLOTTE, NC 28211-0035
(704) 319-5821
(704) 377-2687
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2005-00592
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
139H2
BCBSNC
NC
05
—
59-01336
—
NC
05
—
N00597
—
SC
01
—
P00257139
RR MEDICARE
NC
Enumeration date
05/31/2006
Last updated
12/19/2023
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