Individual
MR. CHARLES W STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
51 N DUNLAP ST, MEMPHIS, TN 38105
(901) 287-7337
Mailing address
51 N DUNLAP ST, MEMPHIS, TN 38105-4625
(901) 287-7337
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
10474
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3648058
—
TN
Enumeration date
05/02/2006
Last updated
03/17/2020
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