Individual
STEPHANIE JANET BROGDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1209 SE INDUSTRY DR, OXFORD, NC 27565-5023
(252) 492-8576
(252) 492-7464
Mailing address
1209 SE INDUSTRY DR, OXFORD, NC 27565-5023
(252) 492-8576
(252) 492-7464
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
051437
GA
207V00000X
Obstetrics & Gynecology Physician
Primary
9900437
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000964224B
—
GA
01
—
051437
GEORGIA LICENSE NUMBER
GA
05
—
1578524724
—
NC
01
—
9900437
NORTH CAROLINA LICENSE NU
NC
Enumeration date
03/29/2006
Last updated
03/07/2023
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