Individual
DR. ADA STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1520 LAUREL ST, COLUMBIA, SC 29201-2623
(803) 799-8407
(803) 252-9070
Mailing address
1520 LAUREL ST, COLUMBIA, SC 29201-2623
(803) 799-8407
(803) 252-9070
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22560
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FQC030
—
SC
05
—
FQC043
—
SC
Enumeration date
05/16/2006
Last updated
01/12/2012
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