Individual
DR. MARK COOPER STURDIVANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2800 BLUE RIDGE ROAD SUITE 300, RALEIGH, NC 27607-6476
(919) 784-7874
Mailing address
2800 BLUE RIDGE ROAD SUITE 300, RALEIGH, NC 27607-6476
(919) 784-7874
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
39377
NC
Other
Enumeration date
12/22/2005
Last updated
10/29/2021
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