Stephen Mange, | |
705 Griffith St, Suite 100, Davidson, NC 28036-9304 | |
(704) 801-7900 | |
Not Available |
Full Name | Stephen Mange |
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Gender | Male |
Speciality | Pediatrics |
Location | 705 Griffith St, Davidson, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104851880 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 26955 (North Carolina) | Primary |
Entity Name | Davidson Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902837073 PECOS PAC ID: 3072402502 Enrollment ID: O20040312000915 |
Mailing Address | Practice Location Address |
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Stephen Mange, 705 Griffith St, Davidson, NC 28036-9304 Ph: () - | Stephen Mange, 705 Griffith St, Suite 100, Davidson, NC 28036-9304 Ph: (704) 801-7900 |
Candace Afrika Howell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 705 Griffith St, Ste 100, Davidson, NC 28036 Phone: 704-801-7900 | |
Stephanie B. Sherrill, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2101 Shiloh Church Rd, Ste 101, Davidson, NC 28036 Phone: 704-439-3700 | |
Christopher James Festa, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 220 Ambleside Village Ln, Davidson, NC 28036 Phone: 856-816-2818 | |
Sabrina Kimrey, Pediatrics Medicare: Medicare Enrolled Practice Location: 705 Griffith St, Suite 100, Davidson, NC 28036 Phone: 704-801-7900 | |
Akilah Grimes, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2101 Shiloh Church Rd, Ste 101, Davidson, NC 28036 Phone: 704-439-3700 | |
Nancy B. Tarte, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 705 Griffith St, Ste 100, Davidson, NC 28036 Phone: 704-801-7900 |