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Organization

MEDICINA STONECREST

Active
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Organization

MEDICINA STONECREST

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK SCHEUTZOW MD (OWNER)
(336) 653-9115
Entity
Organization

Contact information

Practice address
810 WARREN ST, GREENSBORO, NC 27403-2340
(336) 389-1413
Mailing address
1301 OAKMONT DR, ASHEBORO, NC 27205-4136

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
261QP3300X
Pain Clinic/Center
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center

Other

Enumeration date
09/01/2020
Last updated
09/01/2020
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