Organization
DENNIS O. STUART, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS O. STUART M.D. (OWNER/MANAGER)
(910) 738-3957
Entity
Organization
Contact information
Practice address
103 W 27TH ST, LUMBERTON, NC 28358-3014
(910) 738-3957
(910) 738-7354
Mailing address
109 SHORT DR, LUMBERTON, NC 28360-8217
(910) 738-3957
(910) 738-7354
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29990
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80693
BCBSNC
NC
Enumeration date
11/12/2009
Last updated
01/08/2010
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