| NPI | 1659543833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARENCE STEWART Partner 919-231-7969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 213E00000X Podiatrist |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2023-01-18 |