Individual
STEPHEN D PROCTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
421 STATESVILLE BLVD, SALISBURY, NC 28144-2317
(704) 636-8895
(704) 636-9182
Mailing address
421 STATESVILLE BLVD, SALISBURY, NC 28144-2317
(704) 636-8895
(704) 636-9182
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
33290
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4105
PARTNERS NATIONAL HEALTH
NC
01
—
69316
BCBS OF NC
NC
05
—
8969316
—
NC
01
—
P00119673
RAILROAD MEDICARE
NC
Enumeration date
10/26/2006
Last updated
11/14/2013
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