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Individual

MR. JAMES F STEPHENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA CCCA

Contact information

Practice address
2413 ROBESON STREET, SUITE 2, FAYETTEVILLE, NC 28305
(910) 323-2616
(910) 323-9747
Mailing address
2413 ROBESON STREET, SUITE 2, FAYETTEVILLE, NC 28305
(910) 323-2616
(910) 323-9747

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
438
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0184W
BCBS
NC
01
4630101
INDEPENDENT LIVING
05
747922
NC
01
79722
BCBS
NC
Enumeration date
06/29/2006
Last updated
07/08/2007
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