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Stewart Cleaves Manning, Md Pa
Primary Care Clinic/Center in Elizabeth City, North Carolina
NPI 1891908422

Stewart Cleaves Manning, Md Pa is a Primary Care Clinic/Center based in Elizabeth City, NC and is specialized in Primary Care. Stewart Cleaves Manning, Md Pa practices in Elizabeth City, NC. The NPI Number for Stewart Cleaves Manning, Md Pa is 1891908422 and holds a License No. 38380 (North Carolina).

The current practice location address for Stewart Cleaves Manning, Md Pa is 1121 N Road St Ste A, Elizabeth City, NC and can be reached out via phone at 252-338-2144 and via fax at 252-338-2145.

Location: 1121 N Road St Ste A, Elizabeth City, NC, 27909-3470
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1891908422
Provider Name
Stewart Cleaves Manning, Md Pa
Credential
Provider Entity Type
Organization
Address
1121 N Road St Ste A, Elizabeth City, NC, 27909-3470
Phone Number
252-338-2144
Fax Number
252-338-2145
Provider Enumeration Date
05/08/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6953907 05 NC
2335896 01 MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
1121 N Road St Ste A
City
Elizabeth City
State
North Carolina
Zip
27909-3470
Phone Number
252-338-2144
Fax Number
252-338-2145
person
Provider Business Mailing Address Details
Address
1121 N Road St Ste A
City
Elizabeth City
State
North Carolina
Zip
27909-3470
Phone Number
252-338-2144
Fax Number
252-338-2145
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
38380 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
38380 (North Carolina)
Definition
Definition to come...
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