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Individual

DR. STEWART ALAN TRIMBLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
501 CARNES CROSSING BLVD STE B, SUMMERVILLE, SC 29486-0407
(843) 212-8080
(843) 203-2299
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(888) 472-0043
(843) 724-2440

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2006-01587
NC
207R00000X
Internal Medicine Physician
Primary
93068
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03-0455058
FEDERAL TAX ID#
NC
01
1750560504
GROUP PROVIDER NPI
NC
Enumeration date
05/17/2006
Last updated
04/15/2025
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