Individual
STEPHEN ROSS CHERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
336 DEERFIELD RD, BOONE, NC 28607-5008
(828) 262-4100
Mailing address
15 MOUNTAIN OAK LN, TRAVELERS REST, SC 29690-3919
(864) 316-2146
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
2019-02678
NC
207RI0011X
Interventional Cardiology Physician
27614
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276141
—
SC
01
—
P00230391
RAILROAD MEDICARE
SC
Enumeration date
03/01/2006
Last updated
09/28/2021
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