Individual
MR. JIMMY LEE STEWART JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 NORTH STATE STREET, DEPT OF MEDICINE DIVISION OF HYPERTENSION, JACKSON, MS 39216-4500
(601) 984-6850
(601) 984-6853
Mailing address
2500 NORTH STATE STREET, HYPERTENSION, JACKSON, MS 39216-4500
(601) 984-6850
(601) 984-6853
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16401
MS
208000000X
Pediatrics Physician
16401
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00121927
—
MS
05
—
1133515
—
LA
01
—
P00393117
RR MEDICARE - GROUP CN0867
MS
Enumeration date
06/22/2006
Last updated
04/09/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us