Individual
MR. JOHN A STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
353 NEW SHACKLE ISLAND RD, STE 107A, HENDERSONVILLE, TN 37075-2379
(615) 264-6116
(615) 264-4741
Mailing address
353 NEW SHACKLE ISLAND RD, STE 107A, HENDERSONVILLE, TN 37075-2379
(615) 264-6116
(615) 264-4741
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD0000027879
TN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD0000027879
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3866840
—
TN
01
—
4053371
BCBS
TN
01
—
7017145
AETNA
TN
Enumeration date
09/20/2005
Last updated
01/17/2012
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