Basic Information
| Provider Information | |||||||||
| NPI: | 1750327391 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SORSBY | ||||||||
| FirstName: | STEPHEN | ||||||||
| MiddleName: | CHRISTOPHER | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4301 W MARKHAM ST | ||||||||
| Address2: | |||||||||
| City: | LITTLE ROCK | ||||||||
| State: | AR | ||||||||
| PostalCode: | 722057101 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5016865800 | ||||||||
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| Practice Location | |||||||||
| Address1: | 921 N WINSTEAD AVE | ||||||||
| Address2: | |||||||||
| City: | ROCKY MOUNT | ||||||||
| State: | NC | ||||||||
| PostalCode: | 278048749 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2529370300 | ||||||||
| FaxNumber: | 2529373108 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/21/2006 | ||||||||
| LastUpdateDate: | 03/16/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/16/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | C6471 | AR | N | Allopathic & Osteopathic Physicians | Family Medicine | 207QG0300X | C-6471 | AR | N | Allopathic & Osteopathic Physicians | Family Medicine | Geriatric Medicine | 2083X0100X | C-6471 | AR | N | Allopathic & Osteopathic Physicians | Preventive Medicine | Occupational Medicine | 207Q00000X | 2021-02358 | NC | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.