Individual
STEPHEN BROOKS IRVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1834 WAKE FOREST RD, WINSTON SALEM, NC 27109-6000
(336) 758-5218
Mailing address
PO BOX 7386, WINSTON SALEM, NC 27109-6233
(336) 758-5218
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-02196
NC
Other
Enumeration date
02/08/2010
Last updated
04/28/2017
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