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NPI Code Detail

MEDICARE: MIRIAM CORDEIRO STONE DO

MEDICARE: MIRIAM CORDEIRO STONE DO
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
1207P00000XEmergency Medicine Physician2023-01011NC

General Provider Information

NPI Number : 1427409903
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIRIAM CORDEIRO STONE DO
Provider Business Mailing Address
First Line : PO BOX 19305
Second Line :
City : CHARLOTTE
State : NC
Zip : 28219-9305
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1000 BLYTHE BLVD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28203-5812
Country : US
Telephone Number : 704-355-2171
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2016
Last Update Date : 01/29/2026

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Directions to “ MIRIAM CORDEIRO STONE DO” Practice Location

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