Individual
JOSEPH SHANE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
10305 HAMPTONS PARK DR STE 101, HUNTERSVILLE, NC 28078-7217
(704) 895-9838
(704) 316-3083
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 895-9838
(704) 316-3083
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
103870
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8101592
—
NC
Enumeration date
01/05/2006
Last updated
07/10/2023
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