Individual
DR. MICHAEL FREDERICK STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1217 COLUMBIA DR, MILLEDGEVILLE, GA 31061-2391
(478) 453-7516
(478) 453-9322
Mailing address
1217 COLUMBIA DR, MILLEDGEVILLE, GA 31061-2391
(478) 453-7516
(478) 453-9322
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
34062
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00456189A
—
GA
01
—
202303
BCBS
—
01
—
334396
WELLCARE
GA
Enumeration date
01/28/2006
Last updated
02/25/2016
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