Individual
DR. R. CLARKE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
406 BRIARWOOD DR STE 101, JACKSON, MS 39206-3059
(601) 956-1230
(601) 956-0201
Mailing address
406 BRIARWOOD DR STE 101, JACKSON, MS 39206-3059
(601) 956-1230
(601) 956-0201
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2364-87
MS
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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