Provider Demographics
NPI:1427172246
Name:STONECIPHER, KARL GENE (MD)
Entity type:Individual
Prefix:DR
First Name:KARL
Middle Name:GENE
Last Name:STONECIPHER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1002 N CHURCH ST STE 102
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-1447
Mailing Address - Country:US
Mailing Address - Phone:336-854-4441
Mailing Address - Fax:336-854-8547
Practice Address - Street 1:1002 N CHURCH ST STE 103
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-1447
Practice Address - Country:US
Practice Address - Phone:336-854-4441
Practice Address - Fax:336-854-8547
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2019-04-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC34914207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC898017AMedicaid
NCE39946Medicare UPIN
NC2164508Medicare ID - Type Unspecified