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Contact Information

STEPHANIE BLACK
1979 BOWLES AVE
CREEDMOOR, NC27522-7824
 Phone: 919-529-4530
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

163WC0200X
Indicates primary specialty

NPI Profile & details for STEPHANIE BLACK · (Female)

NPI # 1972902773
Status Active
Credentials
Entity Individual
Enumeration date 08/18/2014
Last updated 08/18/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • NC License # 209094
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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