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NPI Code Detail

MEDICARE: RANDALL NOAH STEIN

MEDICARE:   RANDALL NOAH STEIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207WX0009XGlaucoma Specialist (Ophthalmology) Physician2016-00669NC
2207W00000XOphthalmology Physician2016-00669NC

General Provider Information

NPI Number : 1376807214
Entity Type Code : Individual
Provider Name (Legal Business Name) : RANDALL NOAH STEIN
Provider Business Mailing Address
First Line : PO BOX 60160
Second Line :
City : CHARLOTTE
State : NC
Zip : 28260-0160
Country : US
Telephone Number : 704-365-0555
Fax Number : 704-367-8120
Provider Business Practice Location Address
First Line : 185 JOE KNOX AVE
Second Line :
City : MOORESVILLE
State : NC
Zip : 28117-9169
Country : US
Telephone Number : 704-658-2321
Fax Number : 704-235-1878
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2012
Last Update Date : 03/31/2022

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Directions to “ RANDALL NOAH STEIN ” Practice Location

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