Individual
MR. MICHAEL STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
495 NW DEPOT ST, DURANT, MS 39063-3705
(662) 392-1064
Mailing address
PO BOX 343, DURANT, MS 39063-0343
(662) 392-1064
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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