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
740 SUTTERS CREEK BLVD, ROCKY MOUNT, NC 27804-8429
(252) 451-4040
(252) 451-8040
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
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0809W
BLUE CROSS BLUE SHEILD GP
NC
05
—
690187E
—
NC
01
—
CK8360
PALMETTO GBA-RAILROAD ME
NC
Enumeration date
10/10/2006
Last updated
03/14/2022
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