Individual
JOHN SCOTT STORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1350 S KINGS DR, CHARLOTTE, NC 28207-2134
(704) 446-1242
(704) 446-1241
Mailing address
PO BOX 601372, CHARLOTTE, NC 28260-1372
(704) 446-1242
(704) 446-1241
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
9600745
NC
2084N0600X
Clinical Neurophysiology Physician
9600745
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750345484
—
NC
01
—
80212
BCBS NC
NC
05
—
8980212
—
NC
05
—
N00745
—
SC
Enumeration date
04/12/2006
Last updated
01/05/2017
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