Individual
STEPHEN LOGAN GROVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1550 FAULK ST STE 1100, MONROE, NC 28112-5087
(704) 377-2424
Mailing address
1550 FAULK ST STE 1100, MONROE, NC 28112-5087
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-08764
NC
Other
Enumeration date
01/16/2019
Last updated
07/22/2022
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