Individual
STUART O TAFEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1900 ASHWOOD CT, GREENSBORO, NC 27455-3005
(336) 282-1414
(336) 282-1515
Mailing address
PO BOX 1689, ETOWAH, NC 28729-1689
(828) 891-5524
(828) 891-4069
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
200400421
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81405
BCBS
NC
05
—
8981405
—
NC
Enumeration date
04/01/2006
Last updated
09/17/2021
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