Individual
DR. SAMUEL PATRICK STUART JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3333 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-3013
(336) 718-9080
(336) 718-9085
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7840
(704) 384-7830
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
30574
NC
208600000X
Surgery Physician
Primary
30574
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447212667
—
NC
05
—
7980694
—
NC
Enumeration date
04/04/2006
Last updated
10/07/2021
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