Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 2016-01073 | NC |
NPI | 1003253543 |
---|---|
Provider Name | Dr. Sarah Elizabeth Stephens |
First Address | Burlington, NC 27217-2863 |
Second Address | Burlington, NC 27217-2863 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2013 |
Last Update Date | 06/09/2016 |