Organization
OUR CHILDREN'S CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELA G. STEWART MD (PRESIDENT)
(252) 355-3773
Entity
Organization
Contact information
Practice address
4024A OLD TAR RD, WINTERVILLE, NC 28590-8430
(252) 355-3773
(252) 355-1958
Mailing address
4024A OLD TAR RD, WINTERVILLE, NC 28590-8430
(252) 355-3773
(252) 355-1958
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0264E
BCBS OF NC
NC
05
—
890264E
—
NC
Enumeration date
08/23/2006
Last updated
08/22/2020
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