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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