Individual
DR. STEPHEN R CHRISTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
555 E CHEVES ST, RADIOLOGY DEPARTMENT, FLORENCE, SC 29506-2617
(843) 669-5162
(843) 667-4573
Mailing address
555 E CHEVES ST, DEPT OF RADIOLOGY/MRMC, FLORENCE, SC 29506-2617
(843) 777-2879
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
27721
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
154758900
US DEPT OF LABOR
SC
05
—
277211
—
SC
01
—
570525838
STANDARD TAX ID
SC
01
—
5903818
MEDICAID OF NC
NC
01
—
E4437
MEDCOST
SC
Enumeration date
06/05/2006
Last updated
01/20/2016
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