Individual
SCOTT M STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2406 LIGHTHOUSE MANOR DR, GAINESVILLE, GA 30501-7401
(770) 536-4352
(770) 532-8165
Mailing address
2406 LIGHTHOUSE MANOR DR, GAINESVILLE, GA 30501-7401
(770) 536-4352
(770) 532-8165
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
046911
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000947559A
—
GA
Enumeration date
08/04/2005
Last updated
11/20/2008
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