Individual
ALEXANDRA TE STANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2390 HEMBY LN, GREENVILLE, NC 27834-3775
(252) 744-4500
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
2017-02331
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912293051
—
NC
01
—
19TX1
BCBS OF NC
NC
01
—
NN0573A
MEDICARE
NC
Enumeration date
06/28/2011
Last updated
03/07/2024
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