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Organization

FOOT & ANKLE ASSOCIATES OF NORTH CAROLINA, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CLARENCE STEWART DPM (PARTNER)
(919) 231-7969
Entity
Organization

Contact information

Practice address
2701 NEW BERN AVE, RALEIGH, NC 27610-1822
(919) 231-7969
(919) 231-7970
Mailing address
PO BOX 14759, RALEIGH, NC 27620-4759
(919) 231-7969
(919) 231-7970

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
213ES0103X
Foot & Ankle Surgery Podiatrist
291U00000X
Clinical Medical Laboratory
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0809W
BCBS GROUP
NC
05
690187E
NC
01
CK8360
PALMETTO GBA RAILROAD ME
NC
Enumeration date
03/28/2008
Last updated
01/18/2023
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