Individual
DR. STEPHEN B CLYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10512 PARK RD, SUITE 200, CHARLOTTE, NC 28210-8475
(704) 295-3000
(704) 838-8494
Mailing address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000
(704) 838-8494
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
2002-01229
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1377K
BCBS
NC
01
—
20079900
SELECT HEALTH OF SC
SC
01
—
2422065
UNITED HEALTHCARE
NC
01
—
3476629
AETNA HMO/EPO/SELECT
NC
01
—
4823670
CIGNA
NC
01
—
7368564
AETNA
NC
01
—
772913
WELLCARE
SC
01
—
80401
CHCCARES OF SC
SC
05
—
891377
—
NC
01
—
D3210
MEDCOST
NC
05
—
N0122A
—
SC
Enumeration date
03/09/2006
Last updated
04/23/2021
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