Individual
STEWART CLEAVES MANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1121 N ROAD ST STE A, ELIZABETH CITY, NC 27909-3470
(252) 338-2144
(252) 338-2145
Mailing address
1121 N ROAD ST, STE A, ELIZABETH CITY, NC 27909-3353
(252) 338-2144
(252) 338-2145
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
38380
NC
207R00000X
Internal Medicine Physician
38380
NC
207RN0300X
Nephrology Physician
Primary
38380
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891908422
MEDICARE NPI GROUP
NC
05
—
6953907
—
NC
Enumeration date
02/01/2006
Last updated
07/21/2022
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