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Individual

STEVEN KENT GUDEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
811 COX RD, GASTONIA, NC 28054-3453
(704) 852-3888
(704) 852-4456
Mailing address
811 COX RD, GASTONIA, NC 28054-3453
(704) 852-3888
(704) 852-4456

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
35086
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1033K
BCBS NC
NC
05
125849
SC
05
1548216849
NC
Enumeration date
05/26/2006
Last updated
07/13/2015
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