Individual
STEPHANIE ROZIER RICHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6331 CARMEL RD STE 102, CHARLOTTE, NC 28226-8286
(704) 316-2354
(704) 316-2357
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9601459
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10056
BCBS NC
NC
05
—
1265456495
—
NC
05
—
891005G
—
NC
01
—
N01459
SC MEDICAID
SC
Enumeration date
07/27/2006
Last updated
01/17/2025
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