Individual
STUART K TODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1508 JEREMY LN, ROCKY MOUNT, NC 27803-1518
(252) 443-4361
(252) 443-0096
Mailing address
1508 JEREMY LN, ROCKY MOUNT, NC 27803-1518
(252) 443-4361
(252) 443-0096
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
19554
NC
2086S0129X
Vascular Surgery Physician
19554
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8983585
—
NC
Enumeration date
09/08/2005
Last updated
08/27/2007
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