Individual
MARK ANTHONY STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMBT
Contact information
Practice address
320 HASTINGS HILL RD, KERNERSVILLE, NC 27284-6802
(336) 509-0668
Mailing address
320 HASTINGS HILL RD, KERNERSVILLE, NC 27284-6802
(336) 509-0668
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19726
NC
Other
Enumeration date
11/25/2021
Last updated
11/25/2021
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