| Stewart Clinic, Pa | |
|
114 Broadfoot Ave Fayetteville NC 28305-5002 | |
| (910) 484-1156 | |
| Not Available |
| Full Name | Stewart Clinic, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 114 Broadfoot Ave, Fayetteville, North Carolina |
| Authorized Official Name and Position | David Dubose Stewart (PRESIDENT) |
| Authorized Official Contact | 9104841156 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stewart Clinic, Pa 114 Broadfoot Ave Fayetteville NC 28305-5002 Ph: (910) 484-1156 | Stewart Clinic, Pa 114 Broadfoot Ave Fayetteville NC 28305-5002 Ph: (910) 484-1156 |
| NPI Number | 1275865529 |
|---|---|
| Provider Enumeration Date | 02/10/2010 |
| Last Update Date | 02/10/2010 |
| Medicare PECOS PAC ID | 9234273251 |
|---|---|
| Medicare Enrollment ID | O20100215000383 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275865529 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 76346 (North Carolina) | Primary |
| Provider Name | David Dubose Stewart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922093228 PECOS PAC ID: 3173667193 Enrollment ID: I20100215000349 |
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