Individual
DR. MARK STUART WORTHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4917 S CROATAN HWY STE 1A, NAGS HEAD, NC 27959-8996
(252) 449-6160
(252) 449-6161
Mailing address
4917 S CROATAN HWY STE 1A, NAGS HEAD, NC 27959-8996
(252) 449-6160
(252) 449-6161
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31410
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619085115
—
NC
05
—
7989255
—
NC
01
—
89255
BCBS
NC
Enumeration date
08/26/2006
Last updated
03/17/2023
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