Provider Demographics
NPI:1205804135
Name:HUX, STEPHEN MARSHALL (MD)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:MARSHALL
Last Name:HUX
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 751803
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28275-1803
Mailing Address - Country:US
Mailing Address - Phone:336-764-2324
Mailing Address - Fax:336-764-9541
Practice Address - Street 1:12208 HWY 150 NORTH
Practice Address - Street 2:DBA ARCADIA FAMILY PRACTICE
Practice Address - City:WINSTON-SALEM
Practice Address - State:NC
Practice Address - Zip Code:27127
Practice Address - Country:US
Practice Address - Phone:336-764-2324
Practice Address - Fax:336-764-9541
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2020-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC27375207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC45156OtherBCBS
NC8945156Medicaid
NCP00398139OtherRAILROAD MEDICARE
NC203528EMedicare PIN
NCP00398139OtherRAILROAD MEDICARE
NC203528DMedicare PIN