Individual
MR. LESLIE JAMISON STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, FNP-C
Contact information
Practice address
2876B HOWARD AVE UNIT A, MYRTLE BEACH, SC 29577-1703
(765) 969-3938
Mailing address
2876B HOWARD AVE UNIT B, MYRTLE BEACH, SC 29577-1703
(731) 225-8472
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
24926
SC
Other
Enumeration date
06/01/2021
Last updated
04/30/2024
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