Individual
JIMMIE BOYD STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
229 FORKS OF THE RIVER PKWY, SEVIERVILLE, TN 37862-3418
(865) 453-7121
(865) 428-1804
Mailing address
302 TEDLO LN, KNOXVILLE, TN 37920-5270
(865) 577-3641
(865) 577-8248
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6233
TN
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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