Individual
DR. DIMITRIOS STEFANIDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1350 S KINGS DR, CHARLOTTE, NC 28207-2134
(704) 446-1255
(704) 446-1276
Mailing address
PO BOX 601372, CHARLOTTE, NC 28260-1372
(704) 446-1255
(704) 446-1276
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2006-00587
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
143YR
NCBCBS
NC
05
—
5905093
—
NC
05
—
N87006
—
SC
Enumeration date
07/19/2006
Last updated
08/06/2013
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