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NPI Code Detail

MEDICARE: LOUISA A STEWART PAC

MEDICARE: LOUISA A STEWART PAC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207T00000XNeurological Surgery Physician102231NC
2363AM0700XMedical Physician AssistantMT0237126NC

General Provider Information

NPI Number : 1437293719
Entity Type Code : Individual
Provider Name (Legal Business Name) : LOUISA A STEWART PAC
Provider Business Mailing Address
First Line : 1219 WALTER REED RD
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28304-4437
Country : US
Telephone Number : 910-609-4000
Fax Number :
Provider Business Practice Location Address
First Line : 2170 MIDLAND RD
Second Line :
City : SOUTHERN PINES
State : NC
Zip : 28387-2999
Country : US
Telephone Number : 800-733-5357
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2007
Last Update Date : 11/18/2020

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1891875985 — DR. MOLLY MCCARTHY WALSH M.D.
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1457486854 — JOEY LEE HARRIS OD
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1821251802 — ZEINA ABDELNOUR HADDAD MD
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Directions to “ LOUISA A STEWART PAC” Practice Location

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