Provider Demographics
NPI:1881829844
Name:ERIC S. STEM, M.D.
Entity Type:Organization
Organization Name:ERIC S. STEM, M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:S
Authorized Official - Last Name:STEM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:843-419-6789
Mailing Address - Street 1:130 E 3RD NORTH ST
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29483-6810
Mailing Address - Country:US
Mailing Address - Phone:843-419-6789
Mailing Address - Fax:
Practice Address - Street 1:130 E 3RD NORTH ST
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29483-6810
Practice Address - Country:US
Practice Address - Phone:843-419-6789
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-20
Last Update Date:2009-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC24017207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic SurgeryGroup - Single Specialty