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CHARLES DOUGLAS STEWART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA C

Contact information

Practice address
111 BEECHWOOD EST, SCOTT DEPOT, WV 25560-9723
(304) 347-6120
Mailing address
111 BEECHWOOD EST, SCOTT DEPOT, WV 25560-9723

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
00071
WV

Other

Enumeration date
07/10/2006
Last updated
08/23/2019
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