Individual
DR. THOMAS RUSSELL STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1900 10TH AVE, SUITE 200, COLUMBUS, GA 31901-3600
(706) 653-8556
(706) 653-9778
Mailing address
PO BOX 1038, COLUMBUS, GA 31902-1038
(706) 653-8556
(706) 320-8853
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
31331
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52024358-005
BCBS
GA
Enumeration date
07/07/2006
Last updated
03/03/2017
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