Individual
MR. SAMUEL D STUART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
401 WESTWOOD AVE, HIGH POINT, NC 27262-4344
(336) 885-6565
(336) 885-6579
Mailing address
401 WESTWOOD AVE, HIGH POINT, NC 27262-4344
(336) 885-6565
(336) 885-6579
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CPO03809
ABC
—
Enumeration date
07/06/2017
Last updated
07/21/2022
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