Individual
JOHN GRAYSON STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
821 ST. SEBASTIAN WAY, AUGUSTA, GA 30912-2615
(706) 721-2971
(706) 721-1937
Mailing address
P.O. BOX 2825, AUGUSTA, GA 30914-2825
(706) 737-4575
(706) 731-5289
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
65901
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003108921A
—
GA
01
—
65901
MEDICAL LICENSE
GA
Enumeration date
06/07/2007
Last updated
10/31/2013
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