Basic Information
| Provider Information | |||||||||
| NPI: | 1205804135 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HUX | ||||||||
| FirstName: | STEPHEN | ||||||||
| MiddleName: | MARSHALL | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 751803 | ||||||||
| Address2: | |||||||||
| City: | CHARLOTTE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 282751803 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3367642324 | ||||||||
| FaxNumber: | 3367649541 | ||||||||
| Practice Location | |||||||||
| Address1: | 12208 HWY 150 NORTH | ||||||||
| Address2: | DBA ARCADIA FAMILY PRACTICE | ||||||||
| City: | WINSTON-SALEM | ||||||||
| State: | NC | ||||||||
| PostalCode: | 27127 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3367642324 | ||||||||
| FaxNumber: | 3367649541 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/08/2006 | ||||||||
| LastUpdateDate: | 10/25/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/06/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 27375 | NC | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 45156 | 01 | NC | BCBS | OTHER | 8945156 | 05 | NC | MEDICAID | P00398139 | 01 | NC | RAILROAD MEDICARE | OTHER |