Individual
DR. GARY WAYNE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 REGENCY PARK DR, MCDONOUGH, GA 30253
(770) 506-4119
(770) 506-4145
Mailing address
105 REGENCY PARK DR, MCDONOUGH, GA 30253
(770) 506-4119
(770) 506-4145
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
057845
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084589634A
—
GA
05
—
084589634B
—
GA
05
—
084589634C
—
GA
05
—
084589634D
—
GA
Enumeration date
08/16/2005
Last updated
03/31/2008
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