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Organization
JOHN A. STEWART M.D., P.C.
Active
Organization
JOHN A. STEWART M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN A STEWART M.D. (PRESIDENT)
(334) 749-5604
Entity
Organization
Contact information
Practice address
122 N 20TH ST, BLDG #25, OPELIKA, AL 36801-5442
(334) 749-5604
(334) 749-3040
Mailing address
122 N 20TH ST, BLDG #25, OPELIKA, AL 36801-5442
(334) 749-5604
(334) 749-3040
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
9216
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265423313
—
AL
01
—
510 06042
BLUE CROSS BLUE SHIELD
AL
Enumeration date
01/27/2011
Last updated
07/20/2011
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