Individual
KAREN MARIE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPAS PA-C
Contact information
Practice address
48 CENTENNIAL WAY, GREENVILLE, SC 29605-4662
(864) 522-8000
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8617
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
005582
GA
363A00000X
Physician Assistant
Primary
1553
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1061PA
—
SC
Enumeration date
05/13/2009
Last updated
01/28/2021
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