Individual
JEFF STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
76 COUNTY ROAD 64, SUITE 3, WOODLAND, AL 36280-5209
(256) 449-2001
(256) 449-2174
Mailing address
119 AMBULANCE DR, SUITE 202, CARROLLTON, GA 30117-3857
(256) 449-2001
(256) 449-2174
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00009389
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510-00305
BLUE CROSS OF ALABAMA
AL
Enumeration date
07/25/2006
Last updated
06/22/2010
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