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Individual
CHARLES EDWIN STODDARD III
Active
Individual
CHARLES EDWIN STODDARD III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
200400604
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
144A6
BCBS
—
01
—
1624358
CIGNA HEALTHCARE
—
05
—
5906397
—
NC
01
—
807633
PARTNERS MEDICARE
—
Enumeration date
09/07/2006
Last updated
04/02/2025
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