Individual
DR. CHRISTOPHER WADE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 NORTH JOHNSON STREET, COATS, NC 27521
(910) 897-6423
(910) 897-2540
Mailing address
PO BOX 819, COATS, NC 27521-0819
(910) 897-6423
(910) 897-2540
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
200001207546
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0123L
BCBS IDENTIFIER NUMBER
NC
Enumeration date
01/05/2006
Last updated
07/09/2007
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