Provider Demographics
NPI:1205892882
Name:HAIGLER, STUART STEVEN (MD)
Entity type:Individual
Prefix:DR
First Name:STUART
Middle Name:STEVEN
Last Name:HAIGLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1300 BAXTER ST STE 215
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28204-3801
Mailing Address - Country:US
Mailing Address - Phone:704-332-0396
Mailing Address - Fax:704-971-0035
Practice Address - Street 1:1640 CAMPUS PARK DR
Practice Address - Street 2:SUITE C
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28112-5283
Practice Address - Country:US
Practice Address - Phone:704-226-0366
Practice Address - Fax:704-226-9535
Is Sole Proprietor?:No
Enumeration Date:2006-04-24
Last Update Date:2019-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC15222207R00000X, 207RN0300X
NC31522207RN0300X
NMMD2019-0209207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC38176OtherBCBSNC
SCN31522Medicaid
NC18844OtherPARTNERS
NC276909OtherMAMSI
NC561550231EOtherCIGNA
NC8938176Medicaid
NC276909OtherMAMSI
SCN31522Medicaid
NC38176OtherBCBSNC