Individual
EARL L STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2815 N HIGHLAND AVE, SUITE C, JACKSON, TN 38305-1729
(731) 660-6055
(731) 660-6039
Mailing address
2815 N HIGHLAND AVE, SUITE C, JACKSON, TN 38305-1729
(731) 660-6055
(731) 660-6039
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30977
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3832495
—
TN
Enumeration date
09/29/2006
Last updated
07/08/2007
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