Individual
MR. ROBERT L STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
922 WEST G STREET, ELIZABETHTON, TN 37643
(423) 542-2738
(423) 542-2738
Mailing address
PO BOX 40, ELIZABETHTON, TN 37644-0040
(423) 542-2738
(423) 542-2738
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD020176
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3044326
BLUE CROSS BLUE SHIELD
TN
05
—
3073778
—
TN
Enumeration date
02/12/2007
Last updated
07/08/2007
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