Individual
DR. DAVID D STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
114 BROADFOOT AVE, FAYETTEVILLE, NC 28305-5002
(910) 484-1156
(910) 484-0398
Mailing address
114 BROADFOOT AVE, FAYETTEVILLE, NC 28305-5002
(910) 484-1156
(910) 484-0398
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200001255009
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
79841
BCBS PROVIDER #
NC
Enumeration date
09/13/2005
Last updated
02/23/2010
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