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Individual

DR. ANGELA STEWART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

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
00-25531
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
370011561
RR MEDICARE
NC
01
79842
BCBS NC
NC
05
8979842
NC
Enumeration date
06/29/2006
Last updated
02/11/2021
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