| Stephen Mange, | |
| 705 Griffith St, Suite 100, Davidson, NC 28036-9304 | |
| (704) 801-7900 | |
| Not Available | 
| Full Name | Stephen Mange | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics | 
| Location | 705 Griffith St, Davidson, North Carolina | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1104851880 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 26955 (North Carolina) | Primary | 
| Entity Name | Carolinas Physicians Network Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1437607686 PECOS PAC ID: 3375449655 Enrollment ID: O20040115000819 | 
| Entity Name | Davidson Clinic | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1902837073 PECOS PAC ID: 3072402502 Enrollment ID: O20040312000915 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Stephen Mange, 705 Griffith St, Davidson, NC 28036-9304 Ph: () - | Stephen Mange, 705 Griffith St, Suite 100, Davidson, NC 28036-9304 Ph: (704) 801-7900 | 
| Candace Afrika Howell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 705 Griffith St, Ste 100, Davidson, NC 28036 Phone: 704-801-7900 | |
| Stephanie B. Sherrill, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2101 Shiloh Church Rd, Ste 101, Davidson, NC 28036 Phone: 704-439-3700 | |
| Sabrina Kimrey,  Pediatrics Medicare: Medicare Enrolled Practice Location: 705 Griffith St, Suite 100, Davidson, NC 28036 Phone: 704-801-7900 | |
| Akilah Grimes, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2101 Shiloh Church Rd, Ste 101, Davidson, NC 28036 Phone: 704-439-3700 | |
| Nancy B. Tarte, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 705 Griffith St, Ste 100, Davidson, NC 28036 Phone: 704-801-7900 |