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STEPHANIE RENEE PIERCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
114 CHARLOIS BLVD, WINSTON SALEM, NC 27103-1522
(336) 765-5470
(336) 499-5428
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2013-01629
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1548403603
NC
01
1805K
BCBS
NC
01
270424
MEDCOST
NC
01
5362901
AETNA
NC
01
Q01621
SC MEDICAID
SC
Enumeration date
04/19/2009
Last updated
10/17/2023
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