Healthcare Provider Details

I. General information

NPI: 1699862052
Provider Name (Legal Business Name): STEPHEN WRAY JAMES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

86 N MITCHELL AVE
BAKERSVILLE NC
28705-6502
US

IV. Provider business mailing address

86 N MITCHELL AVE P.O. BOX 27
BAKERSVILLE NC
28705-6502
US

V. Phone/Fax

Practice location:
  • Phone: 828-688-2104
  • Fax: 828-688-1334
Mailing address:
  • Phone: 828-688-2104
  • Fax: 828-688-1334

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: