Individual
MR. STEWART P ATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1110 15TH ST, STE C, TUSCALOOSA, AL 35401-3393
(205) 758-0053
(205) 758-0390
Mailing address
1110 15TH ST, STE C, TUSCALOOSA, AL 35401-3393
(205) 758-0053
(205) 758-0390
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT3590
MS
225100000X
Physical Therapist
Primary
PTH2884
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04323710
—
MS
01
—
51505241
BCBS OF AL
AL
05
—
51505241
—
AL
Enumeration date
06/16/2005
Last updated
07/08/2007
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