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Individual
DR. JONATHAN MICHAEL STUART
Active
Individual
DR. JONATHAN MICHAEL STUART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
0102204152
VA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
3424
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1076472
ABMS
TN
01
—
6154827
BLUE CROSS TN
TN
01
—
710872
AAPM&R
TN
01
—
P02096090
RAILROAD MEDICARE
TN
01
—
T03386A
MEDICARE TENNESSEE
TN
Enumeration date
11/03/2007
Last updated
02/05/2024
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