Individual
DR. MARK IVAN STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
821 KING GEORGE BLVD, SUITE A, SAVANNAH, GA 31419-8328
(912) 925-5440
(912) 925-6627
Mailing address
821 KING GEORGE BLVD, SUITE A, SAVANNAH, GA 31419-8328
(912) 925-5440
(912) 925-6627
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
011058
GA
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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