Individual
TIMOTHY STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARRT, RT (R), (CT)
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6459
Mailing address
1051 HARMON AVE, FORT STEWART, GA 31313-5746
(912) 435-6459
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
—
—
2471C3401X
Computed Tomography Radiologic Technologist
—
—
2471C3402X
Radiography Radiologic Technologist
—
—
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
—
—
Other
Enumeration date
11/18/2014
Last updated
11/18/2014
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