Provider Demographics
NPI:1447234265
Name:SAUNDERS, STEPHANIE L (DC)
Entity type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:L
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:POST OFFICE BOX 736
Mailing Address - Street 2:
Mailing Address - City:ROXBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27573-0736
Mailing Address - Country:US
Mailing Address - Phone:336-599-8010
Mailing Address - Fax:336-599-3225
Practice Address - Street 1:515 CARVER DRIVE
Practice Address - Street 2:
Practice Address - City:ROXBORO
Practice Address - State:NC
Practice Address - Zip Code:27573
Practice Address - Country:US
Practice Address - Phone:336-599-8010
Practice Address - Fax:336-599-3225
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-05
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2638111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC085KYOtherBCBS