Individual
DR. IKE CHRISTOPHER STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
308 W WESMARK BLVD, SUMTER, SC 29150-1977
(803) 773-5227
(803) 774-3224
Mailing address
325 BROAD ST STE 100, SUMTER, SC 29150-4167
(803) 773-5227
(803) 774-3224
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27925
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279255
—
SC
01
—
P00474993
RR MEDICARE PIN
SC
Enumeration date
08/06/2006
Last updated
04/03/2018
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