Individual
STEPHEN C THRELKELD
Active
Individual
STEPHEN C THRELKELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD28793
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00124291
—
MS
05
—
09016197
—
MS
05
—
115434001
—
AR
01
—
3155614
BCBST
TN
05
—
3721649
—
TN
05
—
3811529
—
TN
Enumeration date
03/06/2006
Last updated
01/02/2019
Update your record
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