Doctor Name: | ANDREW STERN |
NPI Number: | 1043319684 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA |
License Number: | 0010-04814 |
Business Practice Address: | 300 Penny Ln Morehead City, NC - 285574306 |
Business Phone Number: | 2526488712 |
Business Fax Number: | 2526488713 |
Mailing Address: | 300 Penny Ln, MOREHEAD CITY |
State: | NC |
Postal Code: | 285574306 |
Phone Number: | 2526488712 |
Fax Number: | 2526488713 |
NPI Enumeration Date: | 09/21/2006 |
NPI Last Update Date: | 03/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 0010-04814 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |