MEDICARE: DR. DAVID B STUVER MD

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
1	207R00000X	Internal Medicine Physician	14405	SC
2	207R00000X	Internal Medicine Physician	14081	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00117688	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538165741
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID B STUVER MD

Provider Business Mailing Address
First Line	:	502 SIXTH BAXTER XING
Second Line	:
City	:	FORT MILL
State	:	SC
Zip	:	29708-6428
Country	:	US
Telephone Number	:	803-396-8100
Fax Number	:	803-396-8040

Provider Business Practice Location Address
First Line	:	502 SIXTH BAXTER XING
Second Line	:
City	:	FORT MILL
State	:	SC
Zip	:	29708-6428
Country	:	US
Telephone Number	:	803-396-8100
Fax Number	:	803-396-8040

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	12/11/2008

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Directions to “ DR. DAVID B STUVER MD” Practice Location

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