Individual provider · Type 1 NPI

Blake Austin Stephens, MD

Student in an Organized Health Care Education/Training Program · Charlotte, NC

NPI number 1285384701 Active

Practice location

1000 Blythe Blvd Ste 601
Charlotte, NC 28203-5871

Call (704) 355-7874 Map

Fax (704) 355-5619

Mailing address

338 Oldham Ave
Lexington, KY 40502-1720

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1285384701

Blake Austin Stephens, MD's National Provider Identifier is 1285384701, issued on Mar 27, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Charlotte, NC. The record was last updated on Mar 27, 2022.