Individual
DR. MARK JAY STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2100 CENTRAL AVE STE 6, AUGUSTA, GA 30904-6709
(770) 929-9033
(706) 722-7454
Mailing address
3390 PEACHTREE RD NE STE 1500, ATLANTA, GA 30326-2822
(404) 920-4950
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
032058
GA
207LP2900X
Pain Medicine (Anesthesiology) Physician
032058
GA
208VP0014X
Interventional Pain Medicine Physician
Primary
032058
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000413696E
—
GA
Enumeration date
10/27/2006
Last updated
04/09/2021
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