Provider Demographics
NPI:1760665640
Name:COX, STEPHANIE ROTAN (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:ROTAN
Last Name:COX
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:MEDICAL CENTER BLVD
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27157-0001
Mailing Address - Country:US
Mailing Address - Phone:336-716-4195
Mailing Address - Fax:336-716-3202
Practice Address - Street 1:MEDICAL CENTER BLVD
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27157-0001
Practice Address - Country:US
Practice Address - Phone:336-716-4195
Practice Address - Fax:336-716-3202
Is Sole Proprietor?:No
Enumeration Date:2007-12-13
Last Update Date:2016-05-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC2009-00293207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2705268Medicare PIN