Individual
MR. STEVEN O. STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4500 HUGH HOWELL RD, STE 220, TUCKER, GA 30084
(770) 469-0668
(770) 469-0676
Mailing address
4500 HUGH HOWELL RD, STE 220, TUCKER, GA 30084
(770) 469-0668
(770) 469-0676
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
041369
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000723863F
—
GA
01
—
05011
GEORGIA 1ST
GA
01
—
1049349
FIRST HEALTH
GA
01
—
2031561
AETNA PROVIDER NUMBER
GA
01
—
3891011
CIGNA PROVIDER NUMBER
GA
01
—
52650560002
BC/BS PROVIDER ID
GA
01
—
87726
UHC
GA
Enumeration date
06/24/2005
Last updated
10/27/2011
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