Individual
BRENT D. STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
952 DOUGHERTY RD, AIKEN, SC 29803-6018
(803) 648-2023
Mailing address
952 DOUGHERTY RD, AIKEN, SC 29803-6018
(803) 648-2023
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1179
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GCH425
—
SC
Enumeration date
11/17/2005
Last updated
08/27/2010
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