Individual
STEPHEN HARRISON COCKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1730 KERNERSVILLE MEDICAL PKWY STE 203, KERNERSVILLE, NC 27284-7198
(336) 564-4445
(336) 992-3240
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 564-4445
(336) 992-3240
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2018-02194
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
VA
Other
Enumeration date
05/13/2013
Last updated
03/20/2023
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