Individual
DR. JONATHAN MICHAEL STUART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3045 KATE BOND RD, BARTLETT, TN 38133
(901) 381-4664
Mailing address
6077 PRIMACY PKWY STE 140, MEMPHIS, TN 38119-5742
(901) 259-1673
(901) 259-7637
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
0102204152
VA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
3424
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1076472
ABMS
TN
01
—
6154827
BLUE CROSS TN
TN
01
—
710872
AAPM&R
TN
01
—
P02096090
RAILROAD MEDICARE
TN
01
—
T03386A
MEDICARE TENNESSEE
TN
Enumeration date
11/03/2007
Last updated
02/05/2024
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