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Individual

DR. BIANCA LATIA STEWART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
8201 HEALTHCARE LOOP STE 201, CHARLOTTE, NC 28215-7072
(980) 302-2050
(980) 302-2055
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(980) 302-2050
(980) 302-2055

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2022-00798
NC
207QS1201X
Sleep Medicine (Family Medicine) Physician
Primary
2022-00798
NC
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/08/2018
Last updated
07/14/2023
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