Individual
NICHOLAS STOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
645 AMALIA ST NE, CONCORD, NC 28025-2434
(704) 295-3255
(704) 295-3279
Mailing address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
2012-00637
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009896871
AETNA
—
01
—
1050276
WELLCARE OF SC
SC
01
—
2398810
WELLPATH
—
01
—
2890759
CIGNA
—
01
—
30120495
SELECT HEALTH
SC
01
—
3476644
UNITED HEALTHCARE
—
05
—
5920430
—
NC
01
—
NC6717A
MEDICARE
NC
01
—
P01089959
MEDICARE RAILROAD
NC
05
—
Q0063V
—
SC
Enumeration date
06/11/2007
Last updated
04/02/2021
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