Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0210X | Pediatric Nephrologist | 2008-00557 | NC |
Y | 2080P0210X | Pediatric Nephrologist | 37357 | SC |
NPI | 1134314032 |
---|---|
Provider Name | Heather Denise Stewart |
First Address | Charlotte, NC 28203-5866 |
Second Address | Charleston, SC 29425-5866 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2007 |
Last Update Date | 28/01/2022 |